Pamela Anne Axelson, RN NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

491985 Issued in CA

Practice address

101 Grove St RM 102
San Francisco, CA 94102-4505

Phone

(415) 554-2860

Fax

(415) 554-2619

NPI assigned

Apr 7, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2015 through Jul 1, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

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.

• City and County of San Francisco

  • State or Local Public Health Clinic/Center
  • San Francisco, CA
  • NPI 1093071185
  NPD (past)

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270598400000",
    "number": "1255656872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 GROVE ST RM 102",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941024505",
            "telephone_number": "415-554-2860",
            "fax_number": "415-554-2619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 GROVE ST RM 102",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941024505",
            "telephone_number": "415-554-2860",
            "fax_number": "415-554-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AXELSON",
        "first_name": "PAMELA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "RN NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-07",
        "last_updated": "2010-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "491985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Aweti, CCC-SLP
• Mamdouh A Awwad
• Marina Awwad
• Gail Axelrod
• Jessica Purdy Axelrod, P.N.P
• Axiom Medical Group a Professional Corporation
• Axiom Medical Group, a Professional Corporation
• Rania Ayad, PHARMD
• Roxana Salcedo Ayala-Quintero, MA, LMFT
• Angelica Ayala

• Pediatric Nurse Practitioner in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.