NPIMap

Individual provider Active NPI

Pamela C Pierski, FNP

  • Family Nurse Practitioner
  • Somerville, TN
National Provider Identifier
1124111059
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN0000071423 Issued in TN
Practice address
17310 Hwy 64
Somerville, TN 38068
Phone
(901) 465-2245
Fax
(901) 465-8683
NPI assigned
Oct 2, 2006
Last updated
May 1, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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 RN0000071423 TN Primary

Addresses

Primary practice location

17310 Hwy 64
Somerville, TN 38068

Mailing address

17310 Hwy 64
Somerville, TN 38068
Phone (901) 465-2245

Other identifiers 2

IdentifierTypeStateIssuer
3701371MedicaidTN
3907896MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071004000509 TN Practitioner - Nurse Practitioner 3779678883 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Tennessee, HSC, College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rhea Clinic PCGroup PAC ID 7012086739, 2 clinicians

Practice addresses (Care Compare)

17310 US Hwy 64
Somerville, TN 38068-6902
Phone (901) 465-2245

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
6102TNMDClinical Social Worker
RN0000071423TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist University Emergency Physicians PLLC CurrentSince Jan 20, 2024 Accepting new patients
Rhea Clinic PC CurrentSince Apr 2, 2001 Accepting new patients
Germantown Emergency Physicians, PLLC CurrentSince Jan 20, 2024 Accepting new patients
Carr PLLC CurrentSince Mar 15, 2018 Accepting new patients
Methodist South Emergency Physicians, PLLC CurrentSince Jan 20, 2024 Accepting new patients
Methodist North Emergency Physicians, PLLC CurrentSince Jan 20, 2024 Accepting new patients
T M Carr MD PC CurrentSince Mar 15, 2018 Accepting new patients
Professional Imaging of Tennessee Past Accepting new patients

Locations

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

17310 US Highway 64
Somerville, TN 38068
Phone (901) 465-2245

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1124111059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17310 HWY 64",
            "city": "SOMERVILLE",
            "state": "TN",
            "postal_code": "38068",
            "telephone_number": "901-465-2245",
            "fax_number": "901-465-8683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17310 HWY 64",
            "city": "SOMERVILLE",
            "state": "TN",
            "postal_code": "38068",
            "telephone_number": "901-465-2245",
            "fax_number": "901-465-8683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERSKI",
        "first_name": "PAMELA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "RN0000071423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3701371",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3907896",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, TN

Sources for this page

Verify at the official NPI Registry.