Individual provider Active NPI

Pamela Joan Mahaffey, DNP, ACNS-BC, RN

  • Adult Health Clinical Nurse Specialist
  • Sunbury, OH
National Provider Identifier
1164836763
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
APRN.CNS.01795 Issued in OH
Practice address
454 Carters Corner Rd
Sunbury, OH 43074-9536
Phone
(614) 544-2832
NPI assigned
Jun 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X APRN.CNS.01795 OH Primary

Addresses

Primary practice location

454 Carters Corner Rd
Sunbury, OH 43074-9536

Mailing address

454 Carters Corner Rd
Sunbury, OH 43074-9536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20180914000772 OH Practitioner - Certified Clinical Nurse Specialist (CNS) 0446500326 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Oct 1, 2018 Accepting new patients
Ohiohealth Corporation CurrentSince Oct 1, 2018 Accepting new patients
Signify Health, LLC CurrentSince Mar 1, 2025 Accepting new patients

Locations

Dept L3652
Columbus, OH 43260

5131 Beacon Hill Rd
Ste 220C
Columbus, OH 43228
Phone (614) 544-1555

5131 Beacon Hill Rd
Ste 120
Columbus, OH 43228
Phone (614) 544-1994

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232

5400 Frantz Rd
Ste 250
Dublin, OH 43016
Phone (614) 544-6161

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 3

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": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1164836763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 CARTERS CORNER RD",
            "city": "SUNBURY",
            "state": "OH",
            "postal_code": "430749536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 CARTERS CORNER RD",
            "city": "SUNBURY",
            "state": "OH",
            "postal_code": "430749536",
            "telephone_number": "614-544-2832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAFFEY",
        "first_name": "PAMELA",
        "middle_name": "JOAN",
        "credential": "DNP, ACNS-BC, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-12",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "OH",
            "license": "APRN.CNS.01795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunbury, OH

Sources for this page

Verify at the official NPI Registry.