Individual provider Active NPI

Pamela J Garcia, APN

  • Nurse Practitioner
  • Belvidere, IL
National Provider Identifier
1477070456
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209016214 Issued in IL
Practice address
1954 Gateway Center Dr
Belvidere, IL 61008-9303
Phone
(815) 544-7400
Fax
(815) 547-1730
NPI assigned
Aug 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209016214 IL Primary

Addresses

Primary practice location

1954 Gateway Center Dr
Belvidere, IL 61008-9303

Mailing address

1954 Gateway Center Dr
Belvidere, IL 61008-9303
Phone (815) 544-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20171108000001 IL Practitioner - Nurse Practitioner 0345506341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

1954 Gateway Ctr Dr
Belvidere, IL 61008-9303
Phone (815) 544-7400

8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050

Hospital & facility affiliations

  • Osf Healthcare Home Care Home health agency, Loves Park, IL, CCN 147271
  • Saint Anthony Medical Center Hospital, Rockford, IL, CCN 140233
  • Tallahassee Memorial Healthcare Hospital, Tallahassee, FL, CCN 100135
  • Uw Health Hospital, Rockford, IL, CCN 140228
  • Northwestern Medicine McHenry Hospital, McHenry, IL, CCN 140116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209016214ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osf Multi-Specialty Group CurrentSince Sep 19, 2017 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients

Locations

1954 Gateway Center Dr
Belvidere, IL 61008
Phone (815) 544-7400

1572 S Bell School Rd
Cherry Valley, IL 61016
Phone (815) 332-3015

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195

Organizations & group practices 2

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 5

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": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1477070456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1954 GATEWAY CENTER DR",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610089303",
            "telephone_number": "815-544-7400",
            "fax_number": "815-547-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1954 GATEWAY CENTER DR",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610089303",
            "telephone_number": "815-544-7400",
            "fax_number": "815-547-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "PAMELA",
        "middle_name": "J",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209016214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belvidere, IL

Sources for this page

Verify at the official NPI Registry.