Individual provider Active NPI

Pamela Michelle Wiley, NP-C

  • Family Nurse Practitioner
  • Richmond, IN
National Provider Identifier
1336336882
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71002527A Issued in IN
Practice address
1485 Chester Blvd
Reid Pediatric & Internal Medicine
Richmond, IN 47374-1919
Phone
(765) 966-5527
Fax
(765) 966-5528
NPI assigned
Sep 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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 71002527A IN Primary

Addresses

Primary practice location

1485 Chester Blvd
Reid Pediatric & Internal Medicine
Richmond, IN 47374-1919

Mailing address

1100 Reid Pkwy
Medical Staff Services
Richmond, IN 47374-1157
Phone (765) 935-8581

Other identifiers 3

IdentifierTypeStateIssuer
200877930MedicaidIN
000000855986OtherINANTHEM
0100846MedicaidOH

Other names 1

  • Pamela M Wiley Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address prodgers302924@ReidHealth.direct-ci.com Reid Physician Associates, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071121000004 IN Practitioner - Nurse Practitioner 3072601376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reid Physician Associates IncGroup PAC ID 6406910769, 427 clinicians

Practice addresses (Care Compare)

1485 Chester Blvd
Richmond, IN 47374-1919
Phone (765) 966-5527

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Reid Physician Associates, Inc CurrentSince Jan 27, 2014 Accepting new patients
Reid Physician Associates, Inc. CurrentSince Jan 27, 2014 Accepting new patients
Flourish Collective Inc Past Accepting new patients
Wayne County Auditor PastSince May 31, 2020 Accepting new patients

Locations

1100 Reid Pkwy
Richmond, IN 47374
Phone (765) 983-3000

1485 Chester Blvd
Richmond, IN 47374
Phone (765) 962-8551

Interoperability endpoints

  • Direct secure messaging: prodgers302924@reidhealth.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1336336882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 REID PKWY",
            "address_2": "MEDICAL STAFF SERVICES",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741157",
            "telephone_number": "765-935-8581",
            "fax_number": "765-935-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 CHESTER BLVD",
            "address_2": "REID PEDIATRIC & INTERNAL MEDICINE",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741919",
            "telephone_number": "765-966-5527",
            "fax_number": "765-966-5528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "PAMELA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-28",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71002527A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200877930",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000855986",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0100846",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "prodgers302924@ReidHealth.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Reid Physician Associates, Inc.",
            "address_1": "1485 Chester Blvd",
            "address_2": "Reid Pediatric & Internal Medicine",
            "city": "Richmond",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473741919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "WILEY",
            "middle_name": "M",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Richmond, IN

Sources for this page

Verify at the official NPI Registry.