Individual provider Active NPI

Pamela Isley, NP

  • Adult Health Nurse Practitioner
  • Pueblo, CO
National Provider Identifier
1528211760
Registry record updated Oct 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
99806 Issued in CO
Practice address
3426 Lake Ave
#120
Pueblo, CO 81004-3877
Phone
(719) 561-5264
NPI assigned
Oct 31, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 99806 CO Primary

Addresses

Primary practice location

3426 Lake Ave
#120
Pueblo, CO 81004-3877

Mailing address

3426 Lake Ave
#120
Pueblo, CO 81004-3877
Phone (719) 561-5264

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090327000332 CO Practitioner - Nurse Practitioner 5698832178 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rocky Mountain Primary Care ClinicGroup PAC ID 6103094974, 6 clinicians
Southern Colorado Nephrology Assoc PCGroup PAC ID 5395636161, 7 clinicians

Practice addresses (Care Compare)

131 S Main St
Pueblo, CO 81003-3415

3426 Lake Ave
Suite 120
Pueblo, CO 81004-3878
Phone (719) 561-5264

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.69 of 100Reported as group
Quality
70.43
Promoting interoperability
100
Improvement activities
40
Cost
78.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
99806COMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Colorado Nephrology Assoc PC CurrentSince Dec 19, 2008 Accepting new patients
Rocky Mountain Primary Care Clinic CurrentSince Oct 9, 2013 Accepting new patients

Locations

3426 Lake Ave
Ste 120
Pueblo, CO 81004
Phone (719) 561-5264

131 S Main St
Ste 101
Pueblo, CO 81003
Phone (719) 924-9398

Interoperability endpoints

  • Direct secure messaging: pisley32125@direct.acumenmd.com

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": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225411200000",
    "number": "1528211760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3426 LAKE AVE",
            "address_2": "#120",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043877",
            "telephone_number": "719-561-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3426 LAKE AVE",
            "address_2": "#120",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043877",
            "telephone_number": "719-561-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISLEY",
        "first_name": "PAMELA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-31",
        "last_updated": "2008-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "99806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.