Active NPI
Pamela M Jensen-Stanley, DPM
- Foot & Ankle Surgery Podiatrist
- Somerset, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 00289
- Practice address
- 117 Tradepark Dr
Somerset
Somerset, KY 42503-3428 - Phone
- (606) 679-2773
- Fax
- (606) 679-4626
- NPI assigned
- Mar 7, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 00289 | KY | Primary |
Addresses
Primary practice location
117 Tradepark Dr
Somerset
Somerset, KY 42503-3428
Mailing address
117 Tradepark Dr
Somerset
Somerset, KY 42503-3428
Phone (606) 679-2773
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80000375 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- College of Podiatric Med and Surgery, Des Moines University, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- PT Pros, IncKentucky Orthopedic Rehabilitation LLC
Practice addresses (Care Compare)
115 Tradepark Dr
Suite a
Somerset, KY 42503-3428
Phone (606) 678-5708
117 Tradepark Dr
Suite B
Somerset, KY 42503-3428
Phone (606) 679-2773
2868 S Hwy 127
Russell Springs, KY 42642-4020
Phone (270) 866-6404
792 Campbellsville Rd
Greensburg, KY 42743-1460
Phone (270) 973-5400
930 Jamestown St
Columbia, KY 42728-1012
Phone (270) 751-8730
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 83 |
| Removal of skin lesions | 14 |
| Removal of nail tissue | 1201 |
| Removal or shaving of skin growth | 371 |
| Skin biopsy | 18 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00289 | KY | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upperline Healthcare, PC | Foot & Ankle Surgery | Current | Accepting new patients |
| Cumberland Foot & Ankle Centers | Foot & Ankle Surgery | Current | Accepting new patients |
| Cumberland Foot and Ankle Centers | Foot & Ankle Surgery | Current | Accepting new patients |
| Cumberland Foot and Ankle Center | Foot & Ankle Surgery | Current | Accepting new patients |
| Upperline Healthcare, PC | Foot & Ankle Surgery | Current | Accepting new patients |
| Vital Path Care PC | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
1850 Westen St
Bowling Green, KY 42104
Phone (270) 846-3338
1007 Cumberland Falls Hwy
Corbin, KY 40701
Phone (606) 258-8637
479 Whirlaway Dr
#A
Danville, KY 40422
Phone (859) 239-8005
125 Memorial Dr
Ste 400
Franklin, KY 42134
Phone (270) 813-0948
65 Glenndale Rd
Ste 1
Manchester, KY 40962
Phone (606) 442-8732
49 Gregory St
Monticello, KY 42633
Phone (606) 343-0289
140 Newcomb Ave
Mount Vernon, KY 40456
Phone (606) 256-3232
115 N Keeneland Dr
Richmond, KY 40475
Phone (859) 623-6157
2868 S Highway 127
Russell Springs, KY 42642
Phone (270) 866-6404
115 Tradepark Dr
Ste A
Somerset, KY 42503
Phone (606) 678-5708
117 Tradepark Dr
Ste B
Somerset, KY 42503
Phone (606) 679-2773
117 Tradepark Dr
Somerset, KY 42503
Phone (606) 678-5708
49 Medical Loop
Whitley City, KY 42653
Interoperability endpoints
- pamela.jensen-stanley.1@4399.direct.athenahealth.com
- jensen-stanley.pamela.010.0170067@cfa.meditab.direct-ci.com
- jensen-stanley.pamela.015.0170067@cfa.meditab.direct-ci.com
- jensen-stanley.pamela.011.0170067@cfa.meditab.direct-ci.com
- jensen-stanley.pamela.014.0170067@cfa.meditab.direct-ci.com
Organizations & group practices 6
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.
-
- Foot & Ankle Surgery Podiatrist
- Somerset, KY
- NPI 1093901100
-
- Foot & Ankle Surgery Podiatrist
- Danville, KY
- NPI 1871809087
-
- Foot & Ankle Surgery Podiatrist
- Franklin, KY
- NPI 1912512724
-
- Foot & Ankle Surgery Podiatrist
- Ocoee, FL
- NPI 1326906843
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Somerset, KY
- NPI 1619038247
-
- Critical Access Hospital
- Russell Springs, KY
- NPI 1013954437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415318400000",
"number": "1396712519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 TRADEPARK DR",
"address_2": "SOMERSET",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425033428",
"telephone_number": "606-679-2773",
"fax_number": "606-679-4626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 TRADEPARK DR",
"address_2": "SOMERSET",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425033428",
"telephone_number": "606-679-2773",
"fax_number": "606-679-4626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN-STANLEY",
"first_name": "PAMELA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-07",
"last_updated": "2014-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "KY",
"license": "00289",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80000375",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somerset, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; 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.