Individual provider Active NPI

Pamella Michelle Barrett, NP-C

  • Family Nurse Practitioner
  • Victoria, TX
National Provider Identifier
1033863733
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1069539 Issued in TX
Practice address
1902 John Stockbauer Dr Ste 300
Victoria, TX 77901-3797
Phone
(361) 894-6094
NPI assigned
Feb 10, 2022
Last updated
Feb 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1069539 TX Primary

Addresses

Primary practice location

1902 John Stockbauer Dr Ste 300
Victoria, TX 77901-3797

Mailing address

1902 John Stockbauer Dr Ste 300
Victoria, TX 77901-3797
Phone (361) 864-6094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220526000799 TX Practitioner - Nurse Practitioner 4789062142 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crossroads Hospitalist Associates PLLCGroup PAC ID 6406084045, 3 clinicians
Victoria Hospitalist Associates, LLCGroup PAC ID 6204927122, 39 clinicians

Practice addresses (Care Compare)

102 Medical Dr
Victoria, TX 77904-3101
Phone (361) 580-5128

506 E San Antonio St
De Tar Navarro Hospital
Victoria, TX 77901-6060
Phone (361) 575-7441

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1069539TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria Hospitalist Associates, LLC CurrentSince May 25, 2024 Accepting new patients
Citizen's Medical Center County of Victoria Family CurrentSince Jul 15, 2024 Accepting new patients
Crossroads Hospitalist Associates, PLLC CurrentSince Nov 1, 2022 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

101 James Coleman Dr
Victoria, TX 77904
Phone (346) 541-6421

102 Medical Dr
Victoria, TX 77904
Phone (361) 576-6200

2701 Hospital Dr
Victoria, TX 77901
Phone (361) 573-9180

2701 Hospital Dr
Fl 6
Victoria, TX 77901
Phone (361) 572-5113

506 E San Antonio St
Victoria, TX 77901
Phone (361) 575-1445

Organizations & group practices 4

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

Hospital & facility affiliations 3

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": "1644451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1033863733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 JOHN STOCKBAUER DR STE 300",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779013797",
            "telephone_number": "361-864-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 JOHN STOCKBAUER DR STE 300",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779013797",
            "telephone_number": "361-894-6094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "PAMELLA",
        "middle_name": "MICHELLE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1069539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.