Individual provider Active NPI

Pamela Denise Phelps, ARNP

  • Primary Care Nurse Practitioner
  • Morgantown, KY
National Provider Identifier
1548599459
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
3006178 Issued in KY
Practice address
1132 Brooklyn Chapel Rd
Morgantown, KY 42261-9286
Phone
(270) 526-0875
Fax
(270) 526-9655
NPI assigned
Dec 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 6178P KY
Primary Care Nurse Practitioner 363LP2300X 3006178 KY Primary

Addresses

Primary practice location

1132 Brooklyn Chapel Rd
Morgantown, KY 42261-9286

Mailing address

1132 Brooklyn Chapel Rd
Morgantown, KY 42261-9286
Phone (270) 526-0875

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20150715000754 KY Practitioner - Nurse Practitioner 0446563712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ghayth Hammad MD PSCGroup PAC ID 2860584208, 7 clinicians

Practice addresses (Care Compare)

234 Porter St
Morgantown, KY 42261-8629
Phone (270) 526-9652

234 W Porter St
Morgantown, KY 42261-8629

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6178PKYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ghayth Hammad, MD PSC CurrentSince Jun 6, 2015 Accepting new patients

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, 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": "1261612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1548599459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 BROOKLYN CHAPEL RD",
            "city": "MORGANTOWN",
            "state": "KY",
            "postal_code": "422619286",
            "telephone_number": "270-526-0875",
            "fax_number": "270-526-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 BROOKLYN CHAPEL RD",
            "city": "MORGANTOWN",
            "state": "KY",
            "postal_code": "422619286",
            "telephone_number": "270-526-0875",
            "fax_number": "270-526-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "PAMELA",
        "middle_name": "DENISE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-24",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "6178P",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KY",
            "license": "3006178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, KY

Sources for this page

Verify at the official NPI Registry.