MS. CAMILLE MARIE RISTROPH (MD) – Family Medicine Physician, NPI 1790786028
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
999 FAMILY PRACTICE in NM
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Provider Addresses for MS. CAMILLE MARIE RISTROPH (MD)
PO BOX 160
SHIPROCK, NM 874200160
Phone:
Type: Mailing
Shiprock, San Juan County, New Mexico, 87420, United States
PHYSICIAN OFFICES
SHIPROCK, NM 874200160
Phone: (505) 368-7010
Type: Location
363 Sunrise Blvd
Romney, WV 267574607
Phone: (540) 536-8000
Fax: (540) 536-7780
Type: Location
220 CAMPUS BLVD STE 320
WINCHESTER, VA 226012889
Phone: (540) 536-5100
Fax: (540) 536-0234
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-10-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080401000157 | I | Family Practice | TX | TBD |
| I20131217000424 | I | Family Practice | WV | TBD |
| I20251008002092 | I | Family Practice | WY | TBD |
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.
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 87420)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WV | |
| Internal Medicine | WV | |
| Nurse Practitioner | WV | |
| Internal Medicine | MD | |
| Emergency Medicine | MD | |
| Internal Medicine | VA | |
| Family Practice | IA | |
| Family Practice, Emergency Medicine | VA | |
| Emergency Medicine | VA | |
| Emergency Medicine | MD |
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