Active NPI
Pamela Ann Patey Weeg, LCPC, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Salisbury, MD
National Provider Identifier
1194995456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R252166
- Practice address
- 1411 Wesley Dr
Salisbury, MD 21801-7149 - Phone
- (410) 642-4011
- Fax
- (410) 630-1654
- NPI assigned
- Mar 3, 2008
- Last updated
- Apr 3, 2024
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R252166 | MD | Primary |
| Professional Counselor | 101YP2500X | LC3341 | MD |
Addresses
Primary practice location
1411 Wesley Dr
Salisbury, MD 21801-7149
Mailing address
711 Burning Tree Cir
Salisbury, MD 21801-7001
Phone (410) 920-9080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119591300 | Medicaid | MD |
Other names 1
- Pamela Patey
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- 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, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1411 Wesley Dr
Salisbury, MD 21801-7149
Phone (410) 642-4011
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC3341 | MD | MD | Professional Counselor |
| R252166 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evolve Mental Wellness | Professional | Current | Accepting new patients |
Locations
1411 Wesley Dr
Salisbury, MD 21801
Phone (410) 642-4011
31575 Winterplace Pkwy
Salisbury, MD 21804
Phone (410) 546-0900
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712102400000",
"number": "1194995456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 BURNING TREE CIR",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218017001",
"telephone_number": "410-920-9080",
"fax_number": "410-630-1654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 WESLEY DR",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218017149",
"telephone_number": "410-642-4011",
"fax_number": "410-630-1654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEEG",
"first_name": "PAMELA",
"middle_name": "ANN PATEY",
"name_prefix": "Ms.",
"credential": "LCPC, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-03",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R252166",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC3341",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "119591300",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PAMELA",
"last_name": "PATEY",
"credential": "LCPC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.