Individual provider Active NPI

Pamela Hopkins, AGNP

  • Gerontology Nurse Practitioner
  • Clio, MI
National Provider Identifier
1558739375
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
4704220419 Issued in MI
Practice address
4154 W Vienna Rd # 3
Clio, MI 48420-2809
Phone
(810) 406-4246
Fax
(833) 582-2257
NPI assigned
Sep 10, 2015
Last updated
Mar 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 4704220419 MI Primary

Addresses

Primary practice location

4154 W Vienna Rd # 3
Clio, MI 48420-2809

Mailing address

4154 W Vienna Rd # 3
Clio, MI 48420-2809
Phone (810) 406-4246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20160923000482 MI Practitioner - Nurse Practitioner 1456648146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4154 W Vienna Rd
Clio, MI 48420-2809
Phone (810) 687-1008

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704220419MIMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Community Health Network Inc. CurrentSince Jan 24, 2024 Accepting new patients
Hamilton Community Health Network, Inc. CurrentSince Jan 24, 2024 Accepting new patients

Locations

G3373 S Saginaw St
Burton, MI 48529
Phone (810) 743-6830

4154 W Vienna Rd
Clio, MI 48420
Phone (810) 686-3747

4154 W Vienna Rd
#3
Clio, MI 48420

225 E 5th St
Ste 300
Flint, MI 48502
Phone (810) 406-4912

5710 Clio Rd
Flint, MI 48504
Phone (810) 785-4445

Interoperability endpoints

  • Direct secure messaging: pamela.hopkins.1@25862.direct.athenahealth.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, 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": "1441843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1558739375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4154 W VIENNA RD # 3",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484202809",
            "telephone_number": "810-406-4246",
            "fax_number": "833-582-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4154 W VIENNA RD # 3",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484202809",
            "telephone_number": "810-406-4246",
            "fax_number": "833-582-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPKINS",
        "first_name": "PAMELA",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-10",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704220419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clio, MI

Sources for this page

Verify at the official NPI Registry.