Active NPI
Pamela D. Powell, APNP
- Nurse Practitioner
- Mequon, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5158
- Practice address
- 6425 W Mequon Rd
Mequon, WI 53092-1855 - Phone
- (262) 242-0051
- NPI assigned
- Nov 19, 2012
- Last updated
- Jul 1, 2015
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5158 | WI | Primary |
Addresses
Primary practice location
6425 W Mequon Rd
Mequon, WI 53092-1855
Mailing address
3003 W Good Hope Rd
Milwaukee, WI 53209-2042
Phone (414) 352-3100
Other names 1
- Pamela D. Sampe
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1011 Spring City Dr
Suite 250
Waukesha, WI 53186-5934
Phone (262) 928-0370
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Medical Group Inc. | Current | Accepting new patients | |
| Interpedia, S.C. | Current | Accepting new patients | |
| Affiliated Surgery Center Inc | Past | Accepting new patients | |
| Watertown Physician Practices LLC | Nurse Practitioner | Past | Accepting new patients |
| Anewu LLC | Past | Accepting new patients |
Locations
195 Discovery Dr
Brookfield, WI 53045
Phone (262) 513-7100
195 Discovery Dr
Fl 2
Brookfield, WI 53045
1238 S Cesar E Chavez Dr
Milwaukee, WI 53204
Phone (414) 645-6665
945 N 12th St
Milwaukee, WI 53233
Phone (414) 219-5800
240 Maple Ave
Mukwonago, WI 53149
Phone (262) 928-1900
13900 W National Ave
New Berlin, WI 53151
Phone (262) 928-4500
1185 Corporate Center Dr
Ste 150
Oconomowoc, WI 53066
Phone (262) 928-5000
N57W24950 N Corporate Cir
Sussex, WI 53089
Phone (262) 544-4411
136 N Main St
Thiensville, WI 53092
Phone (262) 241-5414
216 Green Bay Rd
Ste 109
Thiensville, WI 53092
Phone (262) 241-5414
808 Cornerstone Xing
Waterford, WI 53185
Phone (262) 514-0120
109 Air Park Dr
Watertown, WI 53094
Phone (262) 928-5100
1011 Spring City Dr
Waukesha, WI 53186
Phone (262) 925-0370
1011 Spring City Dr
Ste 250
Waukesha, WI 53186
Phone (262) 928-0370
721 American Ave
Ste 310
Waukesha, WI 53188
Phone (262) 928-4880
N17W24100 Riverwood Dr
Waukesha, WI 53188
Phone (262) 820-3093
Organizations & group practices 5
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.
-
- Pediatrics Physician
- Waukesha, WI
- NPI 1356322440
-
- Clinic/Center
- Thiensville, WI
- NPI 1568432979
-
- Ambulatory Surgical Clinic/Center
- Milwaukee, WI
- NPI 1154795649
-
- General Practice Physician
- Thiensville, WI
- NPI 1457914301
-
- Obstetrics & Gynecology Physician
- Watertown, WI
- NPI 1225412265
Nurse Practitioner
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waukesha, WI
- NPI 1629056890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435708800000",
"number": "1134463862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3003 W GOOD HOPE RD",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532092042",
"telephone_number": "414-352-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6425 W MEQUON RD",
"city": "MEQUON",
"state": "WI",
"postal_code": "530921855",
"telephone_number": "262-242-0051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "PAMELA",
"middle_name": "D.",
"credential": "APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-19",
"last_updated": "2015-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "5158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PAMELA",
"last_name": "SAMPE",
"middle_name": "D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mequon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.