Individual provider Active NPI

Pamela Ann Maclaughlin, DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bloomington, IN
National Provider Identifier
1003671967
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71014962A Issued in IN
Practice address
550 S Adams St
Bloomington, IN 47403-2165
Phone
(812) 333-6324
Fax
(812) 331-6700
NPI assigned
Feb 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71014962A IN Primary

Addresses

Primary practice location

550 S Adams St
Bloomington, IN 47403-2165

Mailing address

550 S Adams St
Bloomington, IN 47403-2165
Phone (812) 333-6324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240323000203 IN Practitioner - Nurse Practitioner 0244677433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stone Belt Arc, Inc.Group PAC ID 8820900111, 7 clinicians

Practice addresses (Care Compare)

550 S Adams St
Bloomington, IN 47403-2165
Phone (812) 333-6324

Hospital & facility affiliations

  • Indiana University Health Bloomington Hospital Hospital, Bloomington, IN, CCN 150051
  • Memorial Hospital and Health Care Center Hospital, Jasper, IN, CCN 150115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stone Belt Arc, Inc. CurrentSince Mar 14, 2024 Accepting new patients

Locations

550 S Adams St
Bloomington, IN 47403
Phone (812) 333-6324

2815 E 10th St
Bloomington, IN 47408
Phone (812) 332-2168

1531 13th St
Ste 2520
Columbus, IN 47201
Phone (812) 376-6501

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1003671967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S ADAMS ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032165",
            "telephone_number": "812-333-6324",
            "fax_number": "812-331-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S ADAMS ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032165",
            "telephone_number": "812-333-6324",
            "fax_number": "812-331-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACLAUGHLIN",
        "first_name": "PAMELA",
        "middle_name": "ANN",
        "credential": "DNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71014962A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.