Individual provider Active NPI

Pamila Gail Vanmeeteren, CNP

  • Nurse Practitioner
  • Yankton, SD
National Provider Identifier
1619003308
Registry record updated Nov 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0199 Issued in SD
Practice address
1028 Walnut St
Yankton, SD 57078-2910
Phone
(605) 665-4606
Fax
(605) 665-4673
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0199 SD Primary

Addresses

Primary practice location

1028 Walnut St
Yankton, SD 57078-2910

Mailing address

120 Gavins Point Rd
Yankton, SD 57078-6206
Phone (605) 665-7981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20140425001857 SD Practitioner - Nurse Practitioner 6901039064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lewis and Clark Behavioral Health Services IncGroup PAC ID 9436145273, 11 clinicians

Practice addresses (Care Compare)

3111 Shirley Bridge Ave
Yankton, SD 57078-5949
Phone (605) 665-4606

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0199SDMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Lewis & Clark Behavioral Health Services, Inc. CurrentSince Feb 8, 2014 Accepting new patients
Lewis & Clark Mental Health Center Past Accepting new patients

Locations

1028 Walnut St
Yankton, SD 57078
Phone (605) 665-4606

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 6

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447372800000",
    "number": "1619003308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 GAVINS POINT RD",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570786206",
            "telephone_number": "605-665-7981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 WALNUT ST",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570782910",
            "telephone_number": "605-665-4606",
            "fax_number": "605-665-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANMEETEREN",
        "first_name": "PAMILA",
        "middle_name": "GAIL",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2015-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SD",
            "license": "0199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yankton, SD

Sources for this page

Verify at the official NPI Registry.