Ann Lynn Pampalone, RN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

70000080A Issued in IN

Practice address

11200 W Lincoln Hwy
Mokena, IL 60448-8208

Phone

(815) 464-2171

Fax

(815) 464-2176

NPI assigned

Dec 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

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.

• Porter Physician Services LLC

  • Family Medicine Physician
  • Valparaiso, IN
  • NPI 1508075680

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297296000000",
    "number": "1124181011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "address_2": "2100 HIGHLAND",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146",
            "telephone_number": "401-770-1669",
            "fax_number": "401-652-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 W LINCOLN HWY",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488208",
            "telephone_number": "815-464-2171",
            "fax_number": "815-464-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAMPALONE",
        "first_name": "ANN",
        "middle_name": "LYNN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2011-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "70000080A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER BCBS NUMBER",
            "identifier": "000000325855",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tina M Opsenica, APRN
• Kathryn Ordiway, LSW
• Nicole Aimee Orwar, D.O.
• Stephanie Overbeck
• Lauren Elizabeth Pammer, MOT, OTR/L
• Joaquin Paniagua, RSA
• Betty Anne Panos, M.A. MULTICAT SPED
• Paul Antony Panzica, M.D.
• Parkview Orthopaedic Group S C
• Milan Patel, DO

• Nurse Practitioner in Mokena, IL
• Providers in Mokena, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.