Individual provider Active NPI

Pamela Lynn Menzel, APRN

  • Adult Health Nurse Practitioner
  • Oviedo, FL
National Provider Identifier
1477675718
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN9218749 Issued in FL
Practice address
1000 W Broadway St Ste 205
Oviedo, FL 32765-9262
Phone
(407) 706-1650
Fax
(407) 706-1651
NPI assigned
Apr 6, 2007
Last updated
Oct 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN9218749 FL
Adult Health Nurse Practitioner 363LA2200X APRN9218749 FL Primary

Addresses

Primary practice location

1000 W Broadway St Ste 205
Oviedo, FL 32765-9262

Mailing address

1000 W Broadway St Ste 205
Oviedo, FL 32765-9262
Phone (407) 706-1650

Other identifiers 4

IdentifierTypeStateIssuer
309144900MedicaidFL
Y07ZROtherFLBCBS FL
9218749OtherFLARNP
P00881846OtherFLRR MEDICARE

Other names 1

  • Mrs. Pamela L Farr Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20080627000104 FL Practitioner - Nurse Practitioner 9436221918 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Florida College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventhealth Primary Care Network IncGroup PAC ID 1557722410, 428 clinicians

Practice addresses (Care Compare)

661 E Altamonte Dr
Suite 115
Altamonte Springs, FL 32701-5102
Phone (407) 831-4040

8315 Red Bug Lake Rd
Oviedo, FL 32765-6860
Phone (407) 599-6193

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN9218749FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adventhealth Primary Care Network Inc Family CurrentSince Aug 1, 2023 Accepting new patients
Florida Hospital Medical Group Inc Nurse Practitioner CurrentSince Jun 1, 2008 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jun 1, 2008 Accepting new patients

Locations

661 E Altamonte Dr
Ste 115
Altamonte Springs, FL 32701
Phone (407) 831-4040

900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

1000 W Broadway St
Ste 205
Oviedo, FL 32765
Phone (407) 706-1650

Interoperability endpoints

  • Direct secure messaging: pmenzel70667@adventhealth.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1477675718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W BROADWAY ST STE 205",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659262",
            "telephone_number": "407-706-1650",
            "fax_number": "407-706-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W BROADWAY ST STE 205",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659262",
            "telephone_number": "407-706-1650",
            "fax_number": "407-706-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENZEL",
        "first_name": "PAMELA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9218749",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN9218749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "309144900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "Y07ZR",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNP",
            "identifier": "9218749",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00881846",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "FARR",
            "middle_name": "L",
            "prefix": "MRS.",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oviedo, FL

Sources for this page

Verify at the official NPI Registry.