Individual provider Active NPI

Pamela J Grocer, RNCS

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • N Kingstown, RI
National Provider Identifier
1629182894
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
PNS00005 Issued in RI
Practice address
1130 Ten Rod Road
C250 B2
N, Kingstown, RI 02852
Phone
(401) 486-0772
Fax
(401) 732-3637
NPI assigned
Aug 18, 2006
Last updated
Oct 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X PNS00005 RI Primary

Addresses

Primary practice location

1130 Ten Rod Road
C250 B2
N, Kingstown, RI 02852

Mailing address

1140 South Rd
East Greenwich, RI 02818
Phone (401) 486-0772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20110209000047 RI Practitioner - Certified Clinical Nurse Specialist (CNS) 5395925317 Practice locations: N. Kingstown, RI

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1130 Ten Rod Rd
N Kingstown, RI 02852-4161
Phone 40173236373

1130 Ten Rod Rd
N Kingstown, RI 02852-4178

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1629182894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 SOUTH RD",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "02818",
            "telephone_number": "401-486-0772",
            "fax_number": "401-732-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 TEN ROD ROAD",
            "address_2": "C250 B2",
            "city": "N, KINGSTOWN",
            "state": "RI",
            "postal_code": "02852",
            "telephone_number": "401-486-0772",
            "fax_number": "401-732-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROCER",
        "first_name": "PAMELA",
        "middle_name": "J",
        "credential": "RNCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "RI",
            "license": "PNS00005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Kingstown, RI

Sources for this page

Verify at the official NPI Registry.