Individual provider Active NPI

Pamela Elizabeth Thomas, CRNP

  • Adult Health Nurse Practitioner
  • East Norriton, PA
National Provider Identifier
1548402159
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP009404 Issued in PA
Practice address
609 W Germantown Pike Ste 210
East Norriton, PA 19403-4251
Phone
(610) 649-1175
Fax
(610) 896-8753
NPI assigned
Mar 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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 SP009404 PA
Adult Health Nurse Practitioner 363LA2200X SP009404 PA Primary

Addresses

Primary practice location

609 W Germantown Pike Ste 210
East Norriton, PA 19403-4251

Mailing address

100 E Lancaster Ave Ste 130
Wynnewood, PA 19096-3453
Phone (610) 649-1175

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pthomas11954@direct.acumenmd.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20090511000025 PA Practitioner - Nurse Practitioner 7012065519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney Care Specialists LLCGroup PAC ID 9931450079, 41 clinicians

Practice addresses (Care Compare)

100 E Lancaster Ave
Suite 164E
Wynnewood, PA 19096-3427
Phone (610) 649-1175

609 W Germantown Pike
Suite 210
East Norriton, PA 19403-4251
Phone (610) 649-1175

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP009404PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Care Specialists LLC CurrentSince Apr 29, 2019 Accepting new patients

Locations

1230 S Cedar Crest Blvd
Ste 301
Allentown, PA 18103
Phone (610) 432-4873

2000 Sproul Rd
Ste 300
Broomall, PA 19008
Phone (610) 356-3700

609 W Germantown Pike
Ste 210
Norristown, PA 19403
Phone (610) 275-2446

1105 Bethlehem Pike
#B5
Sellersville, PA 18960
Phone (215) 257-4533

100 E Lancaster Ave
Ste 130
Wynnewood, PA 19096
Phone (610) 649-8089

Interoperability endpoints

  • Direct secure messaging: pthomas11954@direct.acumenmd.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1548402159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE STE 130",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963453",
            "telephone_number": "610-649-1175",
            "fax_number": "610-896-8753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 W GERMANTOWN PIKE STE 210",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194034251",
            "telephone_number": "610-649-1175",
            "fax_number": "610-896-8753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "PAMELA",
        "middle_name": "ELIZABETH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-27",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP009404",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP009404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pthomas11954@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "609 W Germantown Pike Ste 210",
            "city": "East Norriton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "194034251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Norriton, PA

Sources for this page

Verify at the official NPI Registry.