Active NPI
Pamela Kay Himstedt, FNP-BC
- Family Nurse Practitioner
- Cape Girardeau, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 099824
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 425114907 | Medicaid | MO | |
| P00607758 | Other | MO | RR 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 099824 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wound Care Plus, LLC | Current | Accepting new patients | |
| Healing Partners Plus PLLC | Current | Accepting new patients | |
| Consonant Healing Associates of de LLC | Current | Accepting new patients | |
| Ebo MD LLC | Past | 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
- 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.
-
- Specialist
- Saint Louis, MO
- NPI 1841657053
-
- Family Medicine Physician
- Cape Girardeau, MO
- NPI 1326503376
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.