Individual provider Active NPI

Pamela Marni Ermine, D.O.

  • Family Medicine Physician
  • Boynton Beach, FL
National Provider Identifier
1508887506
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS9547 Issued in FL
Practice address
10151 Enterprise Ctr Ste 102
Boynton Beach, FL 33437-3760
Phone
(561) 536-7884
Fax
(561) 336-3776
NPI assigned
Jul 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS9547 FL Primary

Addresses

Primary practice location

10151 Enterprise Ctr Ste 102
Boynton Beach, FL 33437-3760

Mailing address

10151 Enterprise Ctr Ste 102
Boynton Beach, FL 33437-3760
Phone (561) 536-7884

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061114000274 FL Practitioner - Family PracticePractitioner - Internal Medicine 4082612650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pamela M. Ermine, DO LLCGroup PAC ID 4981035177, 2 clinicians
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

10151 Enterprise Ctr Blvd
Suite 102
Boynton Beach, FL 33437-3760
Phone (561) 536-7884

1700 W Woolbright Rd
1 Cora Physical Therapy Boynton Beach
Boynton Beach, FL 33426-6346
Phone (561) 336-0112

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.99 of 100Reported as apm
Quality
81.94
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Pamela M. Ermine, DO LLC Family Medicine CurrentSince Apr 24, 2020 Accepting new patients
Medical Specialists of the Palm Beaches Inc Family Medicine Past Accepting new patients

Locations

10151 Entrprs Cntr Blvd
Ste 102
Boynton Beach, FL 33437
Phone (561) 536-7884

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBHCCD/Endpoint/IBHCCD

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": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1508887506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10151 ENTERPRISE CTR STE 102",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373760",
            "telephone_number": "561-536-7884",
            "fax_number": "561-336-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10151 ENTERPRISE CTR STE 102",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373760",
            "telephone_number": "561-536-7884",
            "fax_number": "561-336-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERMINE",
        "first_name": "PAMELA",
        "middle_name": "MARNI",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS9547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.