CAMILLE DESIREE MARKHAM (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1972114023

CAMILLE DESIREE MARKHAM (PMHNP-BC) is a healthcare provider. based in Bradenton, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 2900802 (FL). The NPI Number for CAMILLE DESIREE MARKHAM (PMHNP-BC) is 1972114023

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
CAMILLE DESIREE MARKHAM (PMHNP-BC)
NPI
1972114023
Phone
(941) 277-9922
Address
5325 SR 64
Enumeration Date
12 August 2020
Last Update Date
22 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2392232751
Graduation Year
2020 (6 years ago)
PAC ID
1658790126
Group Practice PAC ID
2860619632
Professional Enrollment ID
I20201001002986
Address ID
FL339169416FO4310XPKWY301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:5State licenses:3Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for CAMILLE DESIREE MARKHAM (PMHNP-BC)

  • 5325 SR 64

    BRADENTON, FL 34208

    Phone: (941) 277-9922

    Fax: (941) 277-9933

    Type: Mailing

  • 11770 HUCKLEBERRY TRL E

    MACCLENNY, FL 320634195

    Phone: (904) 763-9741

    Type: Mailing

  • 84 W LOWDER ST

    MACCLENNY, FL 320632638

    Phone: (352) 374-5615

    Type: Location

  • 2789 ORTIZ AVE

    FORT MYERS, FL 339057806

    Phone: (239) 275-3222

    Fax: (239) 275-3103

    Type: Mailing

  • 3763 EVANS AVE

    FORT MYERS, FL 339019302

    Phone: (239) 275-3222

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 278 Open Payments records for all available years, with a total value of $6,788.

Total Amount is formed as General ($6,788) + Research ($0) + Ownership ($0) = $6,788.

Last reported payment date: 2024-12-26 • Largest payer in this snapshot: ABBVIE INC. ($1,115).

Total Amount

$6,788

General + Research + Ownership

Payments

278

Total payment records

General Amount

$6,788

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-26

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-10-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201001002986INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34208)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860619632View full group profile
NameSpecialtyState
Nurse PractitionerFL
Mental Health CounselorFL
Clinical Social WorkerIN
Clinical Social WorkerFL
Nurse PractitionerFL
Clinical Social WorkerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Does CAMILLE DESIREE MARKHAM (PMHNP-BC) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — CAMILLE DESIREE MARKHAM (PMHNP-BC) uses 1972114023.
Is CAMILLE DESIREE MARKHAM (PMHNP-BC) listed as active for patients and plans?
The listing shows CAMILLE DESIREE MARKHAM (PMHNP-BC) as active in the NPI system.
What taxonomy line describes CAMILLE DESIREE MARKHAM (PMHNP-BC)?
For research purposes, treat CAMILLE DESIREE MARKHAM (PMHNP-BC) as Psychiatric/Mental Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is CAMILLE DESIREE MARKHAM (PMHNP-BC) based?
CAMILLE DESIREE MARKHAM (PMHNP-BC) is tied to Bradenton, Florida in the data we show; additional addresses may exist on the full record.
Why does CAMILLE DESIREE MARKHAM (PMHNP-BC) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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