Active NPI
Pamela Renee Hertzig, APRN, FNP-BC
- Family Nurse Practitioner
- Kansas City, MO
National Provider Identifier
1023459724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2013023055
- Practice address
- 9151 NE 81St Ter
Suite 105
Kansas City, MO 64158-1294 - Phone
- (816) 994-8787
- Fax
- (816) 994-8788
- NPI assigned
- Jul 10, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2013023055 | MO | Primary |
Addresses
Primary practice location
9151 NE 81St Ter
Suite 105
Kansas City, MO 64158-1294
Mailing address
9151 NE 81St Ter
Suite 105
Kansas City, MO 64158-1294
Phone (816) 994-8787
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013023055 | MO | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373414400000",
"number": "1023459724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9151 NE 81ST TER",
"address_2": "SUITE 105",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641581294",
"telephone_number": "816-994-8787",
"fax_number": "816-994-8788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9151 NE 81ST TER",
"address_2": "SUITE 105",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641581294",
"telephone_number": "816-994-8787",
"fax_number": "816-994-8788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERTZIG",
"first_name": "PAMELA",
"middle_name": "RENEE",
"credential": "APRN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-10",
"last_updated": "2013-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2013023055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.