Individual provider Active NPI

Pamela M Hart, APRN

  • Family Nurse Practitioner
  • Deland, FL
National Provider Identifier
1225700909
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11015710 Issued in FL
Practice address
739 S Spring Garden Ave
Deland, FL 32720-6691
Phone
(386) 777-2273
NPI assigned
Oct 1, 2021
Last updated
Apr 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11015710 FL Primary

Addresses

Primary practice location

739 S Spring Garden Ave
Deland, FL 32720-6691

Mailing address

739 S Spring Garden Ave
Deland, FL 32720-6691
Phone (386) 777-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240924001270 FL Practitioner - Nurse Practitioner 5890236327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Univ of Central Florida, College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Volusia Family and Sports Medicine IncGroup PAC ID 1456483098, 11 clinicians

Practice addresses (Care Compare)

1590 S Sr
15A Suite 100
Deland, FL 32720-7817
Phone (386) 774-0016

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11015710FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Volusia Family and Sports Medicine Inc CurrentSince Jul 1, 2024 Accepting new patients

Locations

1590 S State Road 15A
Deland, FL 32720
Phone (386) 734-9400

1590 S State Road 15A
#100
Deland, FL 32720
Phone (386) 774-0016

1590 S State Road 15A
Ste 100
Deland, FL 32720
Phone (386) 774-0016

739 S Spring Garden Ave
Deland, FL 32720
Phone (386) 774-0016

1639 N Volusia Ave
#B
Orange City, FL 32763
Phone (386) 775-2012

2884 Wellness Ave
Ste 200
Orange City, FL 32763
Phone (386) 774-0016

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJGIBD

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.

Hospital & facility affiliations 3

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": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1225700909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 S SPRING GARDEN AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327206691",
            "telephone_number": "386-777-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 S SPRING GARDEN AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327206691",
            "telephone_number": "386-777-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "PAMELA",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-01",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11015710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

Verify at the official NPI Registry.