Pamela Jean Montplaisir, APRN,CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R23556 Issued in ND

Practice address

721 A 1St Ave S
Jamestown, ND 58401-4723

Phone

(701) 368-4380

NPI assigned

Jun 16, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Pamela Jean Wigginton Former name

Medicare fee-for-service enrollment

Enrolled in ND

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Medallus & Vacharothone LTD

  • Family Medicine Physician
  • Jamestown, ND
  • NPI 1710496310
  Medicare reassignment NPD

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1437470200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6001",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581086001",
            "telephone_number": "701-364-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 A 1ST AVE S",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584014723",
            "telephone_number": "701-368-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTPLAISIR",
        "first_name": "PAMELA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "APRN,CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-16",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "4097",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R23556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "WIGGINTON",
            "middle_name": "JEAN",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Julie Renee Mittleider, LPN
• Chelsea Modlin, LSCW
• Martin Dean Monek, LAC
• Cassandra Lee Monk, RN, NP
• Ashley M Montag
• Monica L Moore
• Patricia Jean Moos, CNS
• Kris Moritz, CASE MANAGER - DCA
• Brianna Morris
• Marco Moser, CRNA

• Family Nurse Practitioner in Jamestown, ND
• Providers in Jamestown, ND by specialty
• Family Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.