Individual provider Active NPI

Pamela Nazarov

  • Psychiatric/Mental Health Nurse Practitioner
  • Hampstead, MD
National Provider Identifier
1326877325
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R242728 Issued in MD
Practice address
1005 S Main St Ste 201
Hampstead, MD 21074-2242
Phone
(410) 941-8488
NPI assigned
Jul 29, 2024
Last updated
Jul 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R242728 MD Primary

Addresses

Primary practice location

1005 S Main St Ste 201
Hampstead, MD 21074-2242

Mailing address

968 Sperry Way
Sykesville, MD 21784-7707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: No
  • 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
I20241107004093 MD Practitioner - Nurse Practitioner 4880128222 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Feel Better Behavioral Health Services LLC CurrentSince Sep 1, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1005 S Main St
Ste 201
Hampstead, MD 21074
Phone (410) 941-8488

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.

NPI Registry JSON

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1326877325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "968 SPERRY WAY",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217847707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 S MAIN ST STE 201",
            "city": "HAMPSTEAD",
            "state": "MD",
            "postal_code": "210742242",
            "telephone_number": "410-941-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZAROV",
        "first_name": "PAMELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R242728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampstead, MD

Sources for this page

Verify at the official NPI Registry.