Pamela J Pedroncelli, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN9494445 Issued in FL

Practice address

1437 S Belcher Rd
Clearwater, FL 33764-2829

Phone

(727) 524-4464

Fax

(727) 538-7272

NPI assigned

Jun 5, 2009

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 identifiers 2

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

Specialty

Nurse Practitioner

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baycare Behavioral Health Inc 58 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pamela.pedroncelliaprn@direct.mybaycare.org

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.

• Baycare Behavioral Health Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Port Richey, FL
  • NPI 1225312549

  FL

  Medicare reassignment Care Compare group NPD
• Baycare Behavioral Health Associates LLC

  • Psychiatry Physician
  • Lutz, FL
  • NPI 1245502152

  FL

  Medicare reassignment NPD
• Behavioral Health Management Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clearwater, FL
  • NPI 1417052713

  FL

  Medicare reassignment NPD
• Winter Haven Hospital Inc

  • General Acute Care Hospital
  • Winter Haven, FL
  • NPI 1477599975

  FL

  Medicare reassignment NPD
• Baycare Behavioral Health Associates LLC

  • Psychiatry Physician
  • Clearwater, FL
  • NPI 1952856858
  NPD
• Baycare Behavioral Health Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brooksville, FL
  • NPI 1962785352
  NPD
• Baycare Behavioral Health, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Port Richey, FL
  • NPI 1801611132
  NPD
• Behavioral Health Management Services, Inc

  • Mental Health Counselor
  • Tampa, FL
  • NPI 1659326130
  NPD
• Behavioral Health Management Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Valrico, FL
  • NPI 1215403662
  NPD
• The Hospital of Central Connecticut at New Britain General and Bradley

  • General Acute Care Hospital
  • New Britain, CT
  • NPI 1053477075
  NPD (past)

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1497981310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1437 S BELCHER RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337642829",
            "telephone_number": "727-524-4464",
            "fax_number": "727-538-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1437 S BELCHER RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337642829",
            "telephone_number": "727-524-4464",
            "fax_number": "727-538-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDRONCELLI",
        "first_name": "PAMELA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-05",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "004086",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9494445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "APRN9494445",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LICENSE",
            "identifier": "004086",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pediatrix Medical Group of Florida Inc
• Pediatrix Medical Group of Florida, Inc
• Michelle Lee Pedigo, B.S.
• Kathleen Louise Peditto, M.D.
• Pedorthic Office - Footwear & Orthotics, LLC
• Carisa Dawnyeill Peeples, PMHNP
• Ratna Ravi Teja Peesapati, PHARM.D
• Samuel Peillon
• Jason Alexander Peklinsky, MD
• Rachelle Mae Peklinsky, FNP-BC

• All providers in Clearwater, FL
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; 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.

Verify at the official NPI Registry.