Individual provider Active NPI

Pamela June Weitzel, CNM

  • Midwife
  • Wheat Ridge, CO
National Provider Identifier
1508254848
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
107035 Issued in CO
Practice address
3555 Lutheran Parkway Suite 210
Wheat Ridge, CO 80033
Phone
(303) 467-2800
Fax
(303) 467-2861
NPI assigned
Jan 8, 2015
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 107035 CO Primary

Addresses

Primary practice location

3555 Lutheran Parkway Suite 210
Wheat Ridge, CO 80033

Mailing address

3555 Lutheran Parkway Suite 210
Wheat Ridge, CO 80033
Phone (303) 467-2800

Other practice location 1

7720 S Broadway Ste 250
Littleton, CO 80122-2634
Phone (720) 922-6240

Other identifiers 1

IdentifierTypeStateIssuer
107035OtherCOCERTIFIED NURSE MIDWIFE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201014000583 CO Practitioner - Certified Nurse Midwife (CNM) 3678993631 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
107035COMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Sep 1, 2021 Accepting new patients
Portercare Adventist Health System CurrentSince Nov 29, 2020 Accepting new patients
Uptown Community Health Center Inc CurrentSince May 17, 2025 Accepting new patients
Uptown Community Health Center Inc Current Accepting new patients
Uptown Community Health Center Inc CurrentSince May 17, 2025 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Sep 1, 2021 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System CurrentSince Nov 29, 2020 Accepting new patients
Saint Joseph Hospital, Inc Past Accepting new patients

Locations

1960 N Ogden St
Ste 320
Denver, CO 80218
Phone (303) 318-2620

1960 N Ogden St
Ste 460
Denver, CO 80218
Phone (303) 318-2500

2535 S Downing St
Denver, CO 80210
Phone (303) 778-5616

7720 S Broadway
Ste 250
Littleton, CO 80122
Phone (720) 922-6240

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1508254848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 LUTHERAN PARKWAY SUITE 210",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "80033",
            "telephone_number": "303-467-2800",
            "fax_number": "303-467-2861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 LUTHERAN PARKWAY SUITE 210",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "80033",
            "telephone_number": "303-467-2800",
            "fax_number": "303-467-2861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7720 S Broadway Ste 250",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801222634",
            "country_code": "US",
            "telephone_number": "720-922-6240",
            "fax_number": "720-922-6241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEITZEL",
        "first_name": "PAMELA",
        "middle_name": "JUNE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CO",
            "license": "107035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED NURSE MIDWIFE",
            "identifier": "107035",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

Verify at the official NPI Registry.