Individual provider Active NPI

Pamela Kay Himstedt, FNP-BC

  • Family Nurse Practitioner
  • Cape Girardeau, MO
National Provider Identifier
1164690236
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
099824 Issued in MO
Practice address
3129 Blattner Dr
Cape Girardeau, MO 63703-6364
Phone
(573) 335-0166
Fax
(573) 335-7942
NPI assigned
Feb 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 099824 MO Primary
Diabetes Educator Registered Nurse 163WD0400X 099824 MO

Addresses

Primary practice location

3129 Blattner Dr
Cape Girardeau, MO 63703-6364

Mailing address

3129 Blattner Dr
Cape Girardeau, MO 63703-6364
Phone (573) 335-0166

Other identifiers 2

IdentifierTypeStateIssuer
425114907MedicaidMO
P00607758OtherMORR MCR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080423000624 MO Practitioner - Nurse Practitioner 7517045065 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healing Partners Plus PLLCGroup PAC ID 4284155425, 125 clinicians
Wound Care Plus LLCGroup PAC ID 6709175912, 43 clinicians

Practice addresses (Care Compare)

Saint Louis, MO 63102
Phone (888) 402-0202

1 Georgian Gardens Dr
Potosi, MO 63664-1436
Phone (888) 256-3814

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
099824MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Care Plus, LLC CurrentSince Dec 1, 2024 Accepting new patients
Healing Partners Plus PLLC CurrentSince Nov 1, 2025 Accepting new patients
Consonant Healing Associates of de LLC CurrentSince Nov 10, 2025 Accepting new patients
Ebo MD LLC PastSince Dec 1, 2020 Accepting new patients

Locations

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

222 E Dunklin St
Ste 102
Jefferson Cty, MO 65101

4240 Blue Ridge Blvd
Ste 530
Kansas City, MO 64133
Phone (816) 291-4601

1 Veterans Way
Mexico, MO 65265
Phone (573) 581-1088

1 Georgian Gardens Dr
Potosi, MO 63664
Phone (516) 464-8023

11400 Hidden Lake Dr
Raytown, MO 64133
Phone (816) 737-1010

10600 Lewis and Clark Blvd
Saint Louis, MO 63136
Phone (314) 340-6389

100 S 4th St
Ste 550
Saint Louis, MO 63102
Phone (314) 391-2626

1800 S Ingram Ave
Sedalia, MO 65301
Phone (660) 826-2300

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1164690236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3129 BLATTNER DR",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637036364",
            "telephone_number": "573-335-0166",
            "fax_number": "573-335-7942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3129 BLATTNER DR",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637036364",
            "telephone_number": "573-335-0166",
            "fax_number": "573-335-7942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIMSTEDT",
        "first_name": "PAMELA",
        "middle_name": "KAY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-12",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "099824",
            "primary": true
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "MO",
            "license": "099824",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "425114907",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P00607758",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.