Active NPI
Pamela E Layton, OB/GYN NP
- Obstetrics & Gynecology Nurse Practitioner
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- R-135990-9
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111697500 | Medicaid | MN | |
| 40D78LA | Other | MN | BLUE CROSS BLUE SHIELD |
| 07-01403 | Other | MN | MEDICA |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1938 | MN | MD | Physical Therapist |
| R-135990-9 | MN | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hennepin County | Current | Accepting new patients | |
| Hennepin County | Current | Accepting new patients | |
| Hennepin County | Current | 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.
-
- Psychiatry Physician
- Minneapolis, MN
- NPI 1780790345
-
- Federally Qualified Health Center (FQHC)
- Minneapolis, MN
- NPI 1891266862
-
- Federally Qualified Health Center (FQHC)
- Minneapolis, MN
- NPI 1962147413
-
- Public Health or Welfare Agency
- Minneapolis, MN
- NPI 1295812386
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1407897309
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; 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.