Individual provider Active NPI

Pamela Wilson Humes, DPM

  • Podiatrist
  • Milwaukee, WI
National Provider Identifier
1104925965
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
890-025 Issued in WI
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

Updated by the provider on Jun 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
43237100MedicaidWI
P00148211OtherWIRAILROAD

Other names 1

  • Pamela Renee Wilson Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231220002216 NV Practitioner - Podiatry 8729048350 Reassigns benefits to 2 organizations

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
Toetal Health Solutions NV PCGroup PAC ID 9234625393, 7 clinicians
Toe-Tal Family FootcareGroup PAC ID 2668868761, 7 clinicians

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 100Reported as group
Quality
83.33
Improvement activities
40
Cost
27.17

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1688
Removal or shaving of skin growth918

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
890-025WIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Toetal Health Solutions NV PC CurrentSince Jan 1, 2026 Accepting new patients
Toe-Tal Family Footcare CurrentSince Apr 1, 2024 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.