NPIMap

Individual provider Active NPI

Pamela Merita Jones, R.N., N.P.

  • Family Nurse Practitioner
  • Troy, MI
National Provider Identifier
1326236597
Registry record updated Feb 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704194406 Issued in MI
Practice address
130 Town Center Dr
Suite 101
Troy, MI 48084-1744
Phone
(248) 740-0670
Fax
(248) 740-0668
NPI assigned
Oct 12, 2007
Last updated
Feb 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2021

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 4704194406 MI Primary

Addresses

Primary practice location

130 Town Center Dr
Suite 101
Troy, MI 48084-1744

Mailing address

20952 E 12 Mile Rd
Suite 200
Saint Clair Shores, MI 48081-3200
Phone (586) 771-4820

Other identifiers 2

IdentifierTypeStateIssuer
500867243OtherMIBCBSM
CB9133OtherMIRAILROAD MEDICARE

Other names 1

  • Miss Pamela Merita Caldwell Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pjones13532@direct.hfhs.org

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
I20071231000271 MI Practitioner - Nurse Practitioner 9638259872 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Institute of Urology PCGroup PAC ID 1052223492, shared by 20 NPIs, 82 clinicians
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians

Practice addresses (Care Compare)

130 Town Ctr Dr
Troy, MI 48084-1744
Phone (248) 740-0670

6777 W Maple Rd
West Bloomfield, MI 48322-3013
Phone (248) 661-4100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704194406MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System Nurse Practitioner CurrentSince Jan 15, 2010 Accepting new patients
Alliance Physician Services of Michigan, P.C. Nurse Practitioner Current Accepting new patients
Alliance Physician Services of Michigan, P.C. Nurse Practitioner CurrentSince Feb 10, 2014 Accepting new patients
Michigan Institute of Urology PC CurrentSince Feb 10, 2014 Accepting new patients
Henry Ford Health System CurrentSince Jan 15, 2010 Accepting new patients
Michigan Institute of Urology PC Nurse Practitioner Past Accepting new patients
Alliance Physician Services of Michigan, P.C. Nurse Practitioner Past Accepting new patients
Alliance Physician Services of Michigan, P.C. Nurse Practitioner Past Accepting new patients
Alliance Physician Services of Michigan, P.C. Nurse Practitioner Past Accepting new patients
Alliance Physician Services of Michigan, P.C. Nurse Practitioner Past Accepting new patients
Alliance Physician Services of Michigan, P.C. Past Accepting new patients
Michigan Institute of Urology PC Nurse Practitioner Past Accepting new patients
Alliance Physician Services of Michigan, P.C. Nurse Practitioner Past Accepting new patients
Alliance Physician Services of Michigan, P.C. Nurse Practitioner Past Accepting new patients
Alliance Physician Services of Michigan, P.C. Nurse Practitioner Past Accepting new patients
Michigan Institute of Urology, PC Past Accepting new patients
Michigan Institute of Urology PC Nurse Practitioner Past Accepting new patients

Locations

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

468 Cadieux Rd
Grosse Pointe Woods, MI 48230
Phone (313) 343-1000

20952 E 12 Mile Rd
Ste 200
St Clr Shores, MI 48081
Phone (586) 771-4820

130 Town Center Dr
Ste 101
Troy, MI 48084
Phone (248) 740-0670

130 Town Center Dr
Ste 200
Troy, MI 48084
Phone (248) 740-0670

6777 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 325-1000

Interoperability endpoints

  • Direct secure messaging: pjones13532@direct.hfhs.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 4

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": "1192147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613174400000",
    "number": "1326236597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20952 E 12 MILE RD",
            "address_2": "SUITE 200",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480813200",
            "telephone_number": "586-771-4820",
            "fax_number": "586-771-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 TOWN CENTER DR",
            "address_2": "SUITE 101",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480841744",
            "telephone_number": "248-740-0670",
            "fax_number": "248-740-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "PAMELA",
        "middle_name": "MERITA",
        "name_prefix": "Mrs.",
        "credential": "R.N., N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-12",
        "last_updated": "2021-02-13",
        "certification_date": "2021-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704194406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "500867243",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB9133",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pjones13532@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "6777 W Maple Rd",
            "city": "West Bloomfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483223013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "CALDWELL",
            "middle_name": "MERITA",
            "prefix": "MISS",
            "credential": "R.N.,N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.