Active NPI
Pamella Sue Barr, APRN
- Nurse Practitioner
- Des Moines, IA
National Provider Identifier
1255390241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- A-050977
- Practice address
- 1200 Pleasant St
Powell 206
Des Moines, IA 50309-1406 - Phone
- (515) 241-5100
- NPI assigned
- Mar 20, 2006
- Last updated
- Oct 15, 2014
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 110313 | NE | |
| Nurse Practitioner | 363L00000X | A-050977 | IA | Primary |
Addresses
Primary practice location
1200 Pleasant St
Powell 206
Des Moines, IA 50309-1406
Mailing address
1200 Pleasant St
Powell 206
Des Moines, IA 50309-1406
Phone (515) 241-5100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01353130 | Other | IA | RR MEDICARE |
| 110313 | Other | NE | LICENSE |
| 1255390241 | Medicaid | IA |
Other names 1
- Pamella Sue Rohde
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-050977 | IA | MD | Nurse Practitioner |
| 110313 | NE | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Internal Medicine Associates of North Platte LLC | Current | Accepting new patients | |
| Family Medicine Associates LLC | Past | Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Past | Accepting new patients |
Locations
500 W Leota St
#150
North Platte, NE 69101
Phone (308) 532-3022
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- North Platte, NE
- NPI 1962530485
-
dba Iowa Health Physicians
- Durable Medical Equipment & Medical Supplies
- West Des Moines, IA
- NPI 1962651588
-
- Family Medicine Physician
- North Platte, NE
- NPI 1801097928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413331200000",
"number": "1255390241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 PLEASANT ST",
"address_2": "POWELL 206",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503091406",
"telephone_number": "515-241-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 PLEASANT ST",
"address_2": "POWELL 206",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503091406",
"telephone_number": "515-241-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARR",
"first_name": "PAMELLA",
"middle_name": "SUE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-20",
"last_updated": "2014-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NE",
"license": "110313",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IA",
"license": "A-050977",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01353130",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "110313",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1255390241",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PAMELLA",
"last_name": "ROHDE",
"middle_name": "SUE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.