Individual provider Active NPI

Pamela E Layton, OB/GYN NP

  • Obstetrics & Gynecology Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1225054638
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
R-135990-9 Issued in MN
Practice address
525 Portland Ave. So.
HSB 4TH Floor, MC 952
Minneapolis, MN 55415
Phone
(612) 348-9840
Fax
(612) 596-7900
NPI assigned
Jul 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X R-135990-9 MN Primary

Addresses

Primary practice location

525 Portland Ave. So.
HSB 4TH Floor, MC 952
Minneapolis, MN 55415

Mailing address

525 Portland Ave. So.
HSB 4TH Floor, MC 952
Minneapolis, MN 55415
Phone (612) 348-9840

Other identifiers 3

IdentifierTypeStateIssuer
111697500MedicaidMN
40D78LAOtherMNBLUE CROSS BLUE SHIELD
07-01403OtherMNMEDICA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20070614000529 MN Practitioner - Nurse Practitioner 0244338200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hennepin CountyGroup PAC ID 7911892849, 132 clinicians

Practice addresses (Care Compare)

525 Portland Ave S MC
Suite 963
Minneapolis, MN 55415-1569
Phone (612) 348-8824

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1938MNMDPhysical Therapist
R-135990-9MNMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hennepin County Current Accepting new patients
Hennepin County CurrentSince Aug 1, 2000 Accepting new patients
Hennepin County CurrentSince Aug 1, 2000 Accepting new patients
Hennepin County Past Accepting new patients

Locations

525 Portland Ave
Lowr
Minneapolis, MN 55415
Phone (612) 348-5609

525 Portland Ave
Fl 4
Minneapolis, MN 55415
Phone (612) 348-9840

525 Portland Ave
Minneapolis, MN 55415
Phone (612) 348-8824

525 Portland Ave
Fl 3
Minneapolis, MN 55415

701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1225054638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 PORTLAND AVE. SO.",
            "address_2": "HSB 4TH FLOOR, MC 952",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55415",
            "telephone_number": "612-348-9840",
            "fax_number": "612-596-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 PORTLAND AVE. SO.",
            "address_2": "HSB 4TH FLOOR, MC 952",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55415",
            "telephone_number": "612-348-9840",
            "fax_number": "612-596-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYTON",
        "first_name": "PAMELA",
        "middle_name": "E",
        "credential": "OB/GYN NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MN",
            "license": "R-135990-9",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111697500",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "40D78LA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "07-01403",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.