TANISHA LEE CAMACHO RODRIGUEZ (NP) – Family Nurse Practitioner, NPI 1578234712

TANISHA LEE CAMACHO RODRIGUEZ (NP) is a healthcare provider. based in Indian orchard, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN2318093 (MA). The NPI Number for TANISHA LEE CAMACHO RODRIGUEZ (NP) is 1578234712

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
TANISHA LEE CAMACHO RODRIGUEZ (NP)
NPI
1578234712
Phone
(413) 886-2083
Address
20 PRIMROSE ST
Enumeration Date
27 September 2021
Last Update Date
15 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4137363668
Graduation Year
2021 (5 years ago)
PAC ID
1557751849
Group Practice PAC ID
3072596360
Professional Enrollment ID
I20221006003050
Address ID
MA011043736SP417XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

4,196 NURSE PRACTITIONER in CT

Provider Addresses for TANISHA LEE CAMACHO RODRIGUEZ (NP)

  • 20 PRIMROSE ST

    INDIAN ORCHARD, MA 011512316

    Phone: (413) 886-2083

    Type: Mailing

  • 22 DEPOT HILL RD # 1123

    SOUTHBURY, CT 064882258

    Phone: (203) 262-1831

    Type: Location

  • 280 CHESTNUT ST FL 2

    SPRINGFIELD, MA 011991001

    Phone: (413) 794-5700

    Type: Mailing

  • 24 N WESTFIELD ST

    FEEDING HILLS, MA 010301606

    Phone: (413) 831-7831

    Fax: (413) 831-7832

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $103.

Total Amount is formed as General ($103) + Research ($0) + Ownership ($0) = $103.

Last reported payment date: 2024-07-15 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($56).

Total Amount

$103

General + Research + Ownership

Payments

3

Total payment records

General Amount

$103

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-15

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2022-10-06

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
I20221006003050INurse PractitionerMATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes162119$0
99213Established patient office or other outpatient visit, 20-29 minutes9883$0
99204New patient office or other outpatient visit, 45-59 minutes2424$0
99215Established patient office or other outpatient visit, 40-54 minutes2315$0
99442Telephone medical discussion with physician, 11-20 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 01151)

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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: 3072596360View full group profile

Reviews

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Frequently asked questions

Is there an official ID for TANISHA LEE CAMACHO RODRIGUEZ (NP) in U.S. healthcare records?
The official identifier for TANISHA LEE CAMACHO RODRIGUEZ (NP) is NPI 1578234712.
Is TANISHA LEE CAMACHO RODRIGUEZ (NP) still an active registrant?
TANISHA LEE CAMACHO RODRIGUEZ (NP) carries an active NPI according to the public dataset.
What expertise is attributed to TANISHA LEE CAMACHO RODRIGUEZ (NP)?
TANISHA LEE CAMACHO RODRIGUEZ (NP)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is TANISHA LEE CAMACHO RODRIGUEZ (NP) located near Indian Orchard?
TANISHA LEE CAMACHO RODRIGUEZ (NP) currently maps to Indian Orchard, Massachusetts in this extract.
When was this NPI issued?
Enumeration for TANISHA LEE CAMACHO RODRIGUEZ (NP) is noted as September 27, 2021 where the registry provides it.

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