Active NPI
Pamela Ann Tabler, FNP-BC
- Family Nurse Practitioner
- Joliet, IL
National Provider Identifier
1104250059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AWAITING LICENSE#
- 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
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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
Practice addresses (Care Compare)
Bolingbrook, IL 60440
Phone (888) 444-8341
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AWAITING LICENSE# | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angels Grace Hospice, LLC | Current | Accepting new patients | |
| Transitions Home Medical Group PLLC | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.