Pamela Marie Breedlove, NP
Individual provider Active NPI Family Nurse Practitioner · Indianapolis, IN
NPI 1366834293 · NPPES record last updated May 17, 2025
Key facts
- NPI
- 1366834293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71005732A (IN)
- Practice address
- 355 W 16TH St Ste 5100
Indianapolis, IN 46202 - Phone
- (317) 963-1300
- Fax
- (317) 222-2012
- NPI assigned
- Mar 2, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Iu Health Medical Group LLC
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
Hospital & facility affiliations
- Indiana University Health
- Iu Health West Hospital
- Indiana University Health Bloomington Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160204002039 | IN | Practitioner - Nurse Practitioner | 3274837679 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Family Physicians, Inc. | Current |
Accepting new patients | |
| University Family Physicians, Inc. | Current |
Accepting new patients | |
| Iu Health Medical Group, LLC | Family | Current |
Accepting new patients |
| Major Hospital | Past | Accepting new patients |
Locations
7216 Solutions Ctr
Chicago, IL 60677
1115 Ronald Reagan Pkwy
Avon, IN 46123
Phone (317) 217-2500
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
355 W 16th St
Ste 5100
Indianapolis, IN 46202
Phone (317) 963-8145
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857
Interoperability endpoints
- pbreedlo@direct.iuhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28155886A | IN | |
| Family Nurse Practitioner | 363LF0000X | 71005732A | IN | Yes |
Addresses
Primary practice location
355 W 16TH St Ste 5100
Indianapolis, IN 46202
Mailing address
355 W 16TH St Ste 5100
Indianapolis, IN 46202-2274
Phone (317) 963-1300
Other practice location 1
8333 Naab Rd
Ste 250
Indianapolis, IN 46260-1983
Phone (317) 396-1451
Other practice location 2
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201345730 | Medicaid | IN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pbreedlo@direct.iuhealth.org | ||
| Direct Messaging Address | pbreedlo@direct.iuhealth.org | Direct |
Other providers in Indianapolis, IN
- Jeffrey D Breckenridge
- Francine D Breckler
- Kristin Elizabeth Bredhold
- Tammy Bree
- Whitney Breeding
- Elizabeth Anne Breen
- Alison Breeze
- Sharea Lynn Brehm
- Alan F Breier
- Nancy Lyn Breitenbeck
All providers in Indianapolis, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.