Pamela Lynn Ralls, M.D.
Individual provider Active NPI Family Medicine Physician · Carrollton, MO
NPI 1023252541 · NPPES record last updated Dec 5, 2024
Key facts
- NPI
- 1023252541
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2008018043 (MO)
- Practice address
- 1502 N.Jefferson Street
CCMH Medical Plaza
Carrollton, MO 64633 - Phone
- (660) 542-1695
- Fax
- (660) 542-9880
- NPI assigned
- Apr 28, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Missouri, Kansas City, School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carroll County Memorial Hospital
Jefferson Medical Group
Practice addresses (Care Compare)
1502 N Jefferson St
Carrollton, MO 64633-1948
Phone (660) 542-1695
221 Elm St
Hale, MO 64643-7161
Phone (660) 565-2602
Hospital & facility affiliations
- Saint Lukes Home Care
- Shirkey Hospice and Palliative Care
- Carroll County Memorial Hospital
- Hedrick Medical Center
- Life Care Center of Carrollton
Merit-based Incentive Payment System (MIPS)
- Final score
- 69.76 of 100
- Quality
- 46.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 53.08
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110105000151 | MO | Practitioner - Family Practice |
6204025380 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008018043 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson Medical Group | Family Medicine | Current |
Accepting new patients |
| Carroll County Memorial Hospital | Current |
Accepting new patients | |
| Jefferson Medical Group | Family Medicine | Current |
Accepting new patients |
| United Investors LP | Past | Accepting new patients | |
| Saint Lukes Hospital of Trenton | Past |
Accepting new patients |
Locations
1502 N Jefferson St
Carrollton, MO 64633
Phone (660) 542-1695
221 Elm St
Hale, MO 64643
Phone (660) 542-1695
Interoperability endpoints
- ccmhhimdept@ccmhospital.cernerdirect.com
- pamralls@ccmhospital.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2008018043 | MO | Yes |
Addresses
Primary practice location
1502 N.Jefferson Street
CCMH Medical Plaza
Carrollton, MO 64633
Mailing address
1502 N Jefferson St
CCMH Medical Plaza Attn: Jean Steele
Carrollton, MO 64633
Phone (660) 542-1695
Other practice location 1
221 Elm St
Hale, MO 64643-7113
Phone (660) 565-2602
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204313506 | Medicaid | MO |
Other names
- Dr. Pamela Lynn Hackstedt
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | CCMHHIMDept@ccmhospital.cernerdirect.com | Direct |
Other providers in Carrollton, MO
- Courtney N Pitt
- Platz Enterprises Inc.
- Platz Enterprises Inc.
- Jennifer Rose Poston
- John Samuel Poston Jr.
- Jonna Hickcox Rechterman
- Timothy Neil Reid
- Abigail Ann Richards
- Charles Blake Riley
- James L Samples
All providers in Carrollton, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.