Active NPI
Pamela Wilson Humes, DPM
- Podiatrist
- Milwaukee, WI
National Provider Identifier
1104925965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 890-025
- Practice address
- 3915 W Capitol Dr
Milwaukee, WI 53216-2528 - Phone
- (414) 444-9242
- Fax
- (414) 444-9252
- NPI assigned
- Sep 21, 2006
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 890-025 | WI | Primary |
Addresses
Primary practice location
3915 W Capitol Dr
Milwaukee, WI 53216-2528
Mailing address
4441 N 41St St
Milwaukee, WI 53209-5815
Phone (206) 972-9997
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43237100 | Medicaid | WI | |
| P00148211 | Other | WI | RAILROAD |
Other names 1
- Pamela Renee Wilson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Las Vegas, NV 89145
Phone (702) 271-6327
3317 Salmon Creek Dr
Las Vegas, NV 89129-6188
Phone (702) 956-3750
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.49 of 100
- Quality
- 83.33
- Improvement activities
- 40
- Cost
- 27.17
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1688 |
| Removal or shaving of skin growth | 918 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 890-025 | WI | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Toetal Health Solutions NV PC | Current | Accepting new patients | |
| Toe-Tal Family Footcare | Current | Accepting new patients | |
| Toe-Tal Family Footcare Associates | Podiatrist | Past | Accepting new patients |
Locations
2604 El Camino Real
Ste 311
Carlsbad, CA 92008
222 S Rainbow Blvd
Ste 114
Las Vegas, NV 89145
Phone (702) 271-6327
Interoperability endpoints
- https://drchrono-fhirpresentation.everhealthsoftware.com/fhir/drchrono/509568/r4
Organizations & group practices 3
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.
-
- Primary Podiatric Medicine Podiatrist
- Las Vegas, NV
- NPI 1821749615
-
- General Practice Physician
- Las Vegas, NV
- NPI 1902772841
-
- Podiatrist
- Vista, CA
- NPI 1801013149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433808000000",
"number": "1104925965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4441 N 41ST ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532095815",
"telephone_number": "206-972-9997",
"fax_number": "773-770-0141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3915 W CAPITOL DR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532162528",
"telephone_number": "414-444-9242",
"fax_number": "414-444-9252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMES",
"first_name": "PAMELA",
"middle_name": "WILSON",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2015-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "WI",
"license": "890-025",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43237100",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P00148211",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PAMELA",
"last_name": "WILSON",
"middle_name": "RENEE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; 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.