Individual provider Active NPI

Pamela Ann Tabler, FNP-BC

  • Family Nurse Practitioner
  • Joliet, IL
National Provider Identifier
1104250059
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AWAITING LICENSE# Issued in IL
Practice address
250 Water Stone Cir
Joliet, IL 60431-8313
Phone
(815) 460-3299
Fax
(815) 460-3296
NPI assigned
Aug 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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 AWAITING LICENSE# IL Primary

Addresses

Primary practice location

250 Water Stone Cir
Joliet, IL 60431-8313

Mailing address

8034 Bluestem Ave
Joliet, IL 60431-4000
Phone (815) 325-1882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20140122000010 IL Practitioner - Nurse Practitioner 3779711783 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Angels Grace Hospice LLCGroup PAC ID 4587824925, 3 clinicians

Practice addresses (Care Compare)

Bolingbrook, IL 60440
Phone (888) 444-8341

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AWAITING LICENSE#ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Angels Grace Hospice, LLC CurrentSince Jan 17, 2025 Accepting new patients
Transitions Home Medical Group PLLC CurrentSince Jan 30, 2024 Accepting new patients

Locations

440 Quadrangle Dr
Ste G
Bolingbrook, IL 60440
Phone (630) 633-7553

2312 Touhy Ave
Elk Grove Vlg, IL 60007
Phone (816) 637-2200

Interoperability endpoints

  • Direct secure messaging: pamela.tabler.p1@direct.thmg.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1104250059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8034 BLUESTEM AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604314000",
            "telephone_number": "815-325-1882",
            "fax_number": "815-460-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 WATER STONE CIR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604318313",
            "telephone_number": "815-460-3299",
            "fax_number": "815-460-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABLER",
        "first_name": "PAMELA",
        "middle_name": "ANN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-28",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "AWAITING LICENSE#",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.