Individual provider Active NPI

Pamela M Jensen-Stanley, DPM

  • Foot & Ankle Surgery Podiatrist
  • Somerset, KY
National Provider Identifier
1396712519
Registry record updated Nov 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
00289 Issued in KY
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

Updated by the provider on Nov 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
80000375MedicaidKY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101018000822 KY Practitioner - Podiatry 5092908467 Reassigns benefits to 3 organizations

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
Upperline Healthcare PCGroup PAC ID 4385900653, 194 clinicians
Vital Path Care PCGroup PAC ID 8022532613, 52 clinicians
PT Pros, IncGroup PAC ID 0143139337, shared by 14 NPIs, 263 clinicians
Kentucky Orthopedic Rehabilitation LLCGroup PAC ID 0345157293, shared by 15 NPIs, 68 clinicians

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

ProcedureNumber of procedures
Removal of tissue83
Removal of skin lesions14
Removal of nail tissue1201
Removal or shaving of skin growth371
Skin biopsy18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00289KYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare, PC Foot & Ankle Surgery CurrentSince Jul 1, 2022 Accepting new patients
Cumberland Foot & Ankle Centers Foot & Ankle Surgery Current Accepting new patients
Cumberland Foot and Ankle Centers Foot & Ankle Surgery CurrentSince Jul 1, 2003 Accepting new patients
Cumberland Foot and Ankle Center Foot & Ankle Surgery CurrentSince Jul 1, 2003 Accepting new patients
Upperline Healthcare, PC Foot & Ankle Surgery CurrentSince Jul 1, 2022 Accepting new patients
Vital Path Care PC Foot & Ankle Surgery CurrentSince Jan 15, 2025 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

  • Direct secure messaging: pamela.jensen-stanley.1@4399.direct.athenahealth.com
  • Direct secure messaging: jensen-stanley.pamela.010.0170067@cfa.meditab.direct-ci.com
  • Direct secure messaging: jensen-stanley.pamela.015.0170067@cfa.meditab.direct-ci.com
  • Direct secure messaging: jensen-stanley.pamela.011.0170067@cfa.meditab.direct-ci.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.