NPIMap

Individual provider Active NPI

Pamela Jean Becker, NP-C

  • Family Nurse Practitioner
  • Eaton Rapids, MI
National Provider Identifier
1255714531
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704220137 Issued in MI
Practice address
2487 S Michigan Rd Ste E
Eaton Rapids, MI 48827-8252
Phone
(517) 836-2178
Fax
(517) 836-2178
NPI assigned
Jul 3, 2015
Last updated
Nov 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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 4704220137 MI Primary

Addresses

Primary practice location

2487 S Michigan Rd Ste E
Eaton Rapids, MI 48827-8252

Mailing address

2487 S Michigan Rd Ste E
Eaton Rapids, MI 48827-8252
Phone (517) 836-2178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150922001132 MI Practitioner - Nurse Practitioner 6204143332 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Michigan State University College of Human Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2487 S Michigan Rd
Suite E
Eaton Rapids, MI 48827-8252
Phone (517) 836-2178

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan P Wulff, D.O., PC CurrentSince Sep 1, 2022 Accepting new patients
Edward W. Sparrow Hospital Association CurrentSince Sep 1, 2016 Accepting new patients
Charis Kai Eleos LLC CurrentSince Oct 30, 2023 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Sparrow Eaton Hospital Past Accepting new patients
Sparrow Eaton Hospital Past Accepting new patients
Sparrow Eaton Hospital Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

2682 E Grand River Ave
East Lansing, MI 48823
Phone (517) 333-6352

1500 S Main St
Eaton Rapids, MI 48827
Phone (517) 663-2671

1501 Kyle St
Eaton Rapids, MI 48827
Phone (517) 663-3344

2487 S Michigan Rd
Ste E
Eaton Rapids, MI 48827
Phone (517) 836-2178

716 N Clippert St
Lansing, MI 48912
Phone (517) 253-4000

800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900

Interoperability endpoints

  • Direct secure messaging: pamela.becker.1@29799.direct.athenahealth.com

Organizations & group practices 7

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 9

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": "1435881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1255714531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2487 S MICHIGAN RD STE E",
            "city": "EATON RAPIDS",
            "state": "MI",
            "postal_code": "488278252",
            "telephone_number": "517-836-2178",
            "fax_number": "517-836-2182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2487 S MICHIGAN RD STE E",
            "city": "EATON RAPIDS",
            "state": "MI",
            "postal_code": "488278252",
            "telephone_number": "517-836-2178",
            "fax_number": "517-836-2178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "PAMELA",
        "middle_name": "JEAN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-03",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704220137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eaton Rapids, MI

Sources for this page

Verify at the official NPI Registry.