Active NPI
Pamela Michelle Wiley, NP-C
- Family Nurse Practitioner
- Richmond, IN
National Provider Identifier
1336336882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71002527A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200877930 | Medicaid | IN | |
| 000000855986 | Other | IN | ANTHEM |
| 0100846 | Medicaid | OH |
Other names 1
- Pamela M Wiley
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reid Physician Associates, Inc | Current | Accepting new patients | |
| Reid Physician Associates, Inc. | Current | Accepting new patients | |
| Flourish Collective Inc | Past | Accepting new patients | |
| Wayne County Auditor | Past | 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
- 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.
-
- Internal Medicine Physician
- Richmond, IN
- NPI 1265689111
-
- Radiology Clinic/Center
- Winchester, IN
- NPI 1417653221
-
- Public Health or Welfare Agency
- Richmond, IN
- NPI 1093246332
-
- Doula
- Newport, RI
- NPI 1982359527
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.