Active NPI
Norma Jean Hamel, NP
- Primary Care Nurse Practitioner
- Redlands, CA
National Provider Identifier
1093576746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- NP95018895
- Practice address
- 1215 N Wabash Ave
Redlands, CA 92374-4963 - Phone
- (909) 794-0200
- Fax
- (909) 794-0204
- NPI assigned
- Jan 19, 2024
- 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | NP95018895 | CA | Primary |
Addresses
Primary practice location
1215 N Wabash Ave
Redlands, CA 92374-4963
Mailing address
29881 Vista Ridge Rd
Winchester, CA 92596-3540
Phone (330) 524-5841
Other names 1
- Norma Jean Ollis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95018895 | CA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kolli Medical Corporation | Current | Accepting new patients |
Locations
1600 E Florida Ave
Ste 103
Hemet, CA 92544
Phone (951) 925-6625
1215 N Wabash Ave
Redlands, CA 92374
Phone (909) 794-0200
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Hemet, CA
- NPI 1659716884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705622400000",
"number": "1093576746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29881 VISTA RIDGE RD",
"city": "WINCHESTER",
"state": "CA",
"postal_code": "925963540",
"telephone_number": "330-524-5841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 N WABASH AVE",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923744963",
"telephone_number": "909-794-0200",
"fax_number": "909-794-0204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMEL",
"first_name": "NORMA",
"middle_name": "JEAN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-19",
"last_updated": "2024-01-19",
"certification_date": "2024-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "CA",
"license": "NP95018895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NORMA",
"last_name": "OLLIS",
"middle_name": "JEAN",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.