Individual provider Active NPI

Pamela Ann Eaton, ANP-C

  • Adult Health Nurse Practitioner
  • Medina, NY
National Provider Identifier
1063569408
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F303784-1 Issued in NY
Practice address
200 Ohio Street
Medina, NY 14103-1191
Phone
(585) 798-2550
Fax
(585) 798-3660
NPI assigned
Jan 5, 2007
Last updated
May 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F303784-1 NY Primary

Addresses

Primary practice location

200 Ohio Street
Medina, NY 14103-1191

Mailing address

200 Ohio Street
Medina, NY 14103-1191
Phone (585) 798-2550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040817001394 NY Practitioner - Nurse Practitioner 6103899190 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orleans Community HealthGroup PAC ID 7315857018, 20 clinicians

Practice addresses (Care Compare)

200 Ohio St
Medina, NY 14103-1063
Phone (716) 798-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F303784-1NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orleans Community Health CurrentSince Jan 1, 2024 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Nov 28, 2024 Accepting new patients
Orleans Community Health CurrentSince Jan 1, 2024 Accepting new patients
Orleans Community Health Current Accepting new patients
Western New York Medical Practice P.C CurrentSince Nov 28, 2024 Accepting new patients
Lake Plains Medical PLLC Past Accepting new patients
Ipc Hospitalist Services of New York, P.C. Past Accepting new patients
General Physician Sub I PLLC PastSince Jan 1, 2013 Accepting new patients
Elder Medical Services PC PastSince Aug 1, 2004 Accepting new patients
Dr. Shoukri M. Wisa Medical Care PLLC PastSince Sep 15, 2008 Accepting new patients

Locations

14789 State Route 31
Albion, NY 14411
Phone (585) 589-2273

200 Ohio St
Medina, NY 14103
Phone (585) 798-2000

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EBJDAD/Endpoint/EBJDAD

Organizations & group practices 10

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 1

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": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1063569408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OHIO STREET",
            "city": "MEDINA",
            "state": "NY",
            "postal_code": "141031191",
            "telephone_number": "585-798-2550",
            "fax_number": "585-798-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 OHIO STREET",
            "city": "MEDINA",
            "state": "NY",
            "postal_code": "141031191",
            "telephone_number": "585-798-2550",
            "fax_number": "585-798-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EATON",
        "first_name": "PAMELA",
        "middle_name": "ANN",
        "credential": "ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F303784-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, NY

Sources for this page

Verify at the official NPI Registry.