Individual provider Active NPI

Pamela Jean Fager

  • Attendant Care Provider
  • Green Bay, WI
National Provider Identifier
1003712878
Registry record updated Oct 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
Practice address
836 Neufeld St
Green Bay, WI 54304-2236
Phone
(920) 940-4010
NPI assigned
Oct 17, 2026
Last updated
Oct 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider 3747A0650X NU Primary

Addresses

Primary practice location

836 Neufeld St
Green Bay, WI 54304-2236

Mailing address

836 Neufeld St
Green Bay, WI 54304-2236

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1792195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792195200000",
    "number": "1003712878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 NEUFELD ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543042236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 NEUFELD ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543042236",
            "telephone_number": "920-940-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGER",
        "first_name": "PAMELA",
        "middle_name": "JEAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-17",
        "last_updated": "2026-10-17",
        "certification_date": "2026-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.