Active NPI
Pamela A Homer, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Rockledge, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 0995760
- Practice address
- 1770 Cedar St
Rockledge, FL 32955-3133 - Phone
- (321) 890-1500
- NPI assigned
- Feb 16, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Registered Nurse | 163W00000X | 99914 | CO | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 0995760 | CO | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0995760 | CO | Primary |
Addresses
Primary practice location
1770 Cedar St
Rockledge, FL 32955-3133
Mailing address
400 E Sheridan Rd
Melbourne, FL 32901-3184
Phone (321) 722-5273
Other names 1
- Pamela A Oseles-Mast
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
753 Maleta LN
Suite 204
Castle Rock, CO 80108-7609
Phone (303) 993-6071
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 99914 | CO | MD | Registered Nurse |
| 0995760 | CO | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diana Smith Psychiatric Mental Health Nurse Practitioner LLC | Current | Accepting new patients | |
| Clarity Mental Health, PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Circles of Care, Inc. | Current | Accepting new patients | |
| Circles of Care, Inc. | Mental Health | Current | Accepting new patients |
Locations
753 Maleta Ln
Ste 203
Castle Rock, CO 80108
Phone (303) 993-6071
753 Maleta Ln
Ste 204
Castle Rock, CO 80108
Phone (303) 993-6071
635 W Corona Ave
Ste 205
Pueblo, CO 81004
Phone (719) 289-6002
400 Sheridan Rd
Melbourne, FL 32901
Phone (321) 722-5273
1770 Cedar St
Rockledge, FL 32955
Phone (321) 634-6257
Organizations & group practices 4
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Castle Rock, CO
- NPI 1972002087
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Melbourne, FL
- NPI 1215345954
-
- Child & Adolescent Psychiatry Physician
- Pueblo, CO
- NPI 1588275929
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- West Melbourne, FL
- NPI 1891704847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706140800000",
"number": "1124162995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E SHERIDAN RD",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329013184",
"telephone_number": "321-722-5273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1770 CEDAR ST",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329553133",
"telephone_number": "321-890-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOMER",
"first_name": "PAMELA",
"middle_name": "A",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-16",
"last_updated": "2024-01-25",
"certification_date": "2024-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "99914",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "CO",
"license": "0995760",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CO",
"license": "0995760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PAMELA",
"last_name": "OSELES-MAST",
"middle_name": "A",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rockledge, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.