Pamela Rose Blanchett, NP-C
Individual provider Active NPI Adult Health Nurse Practitioner · Stamford, CT
NPI 1629304142 · NPPES record last updated Jun 29, 2021
Key facts
- NPI
- 1629304142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 5255 (CT)
- Practice address
- 29 Hospital PLZ Ste 502
Stamford, CT 06902-3602 - Phone
- (203) 348-7410
- Fax
- (203) 961-8488
- NPI assigned
- Oct 19, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Stamford Health Medical Group Inc
Practice addresses (Care Compare)
29 Hospital PLZ
Suite 502
Stamford, CT 06902-3602
Phone (203) 348-7410
Hospital & facility affiliations
- Stamford Hospital
- Greenwich Hospital Association -
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.6 of 100
- Quality
- 84.86
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 71.31
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130522000440 | CT | Practitioner - Nurse Practitioner | 6608014105 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5255 | CT | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stamford Health Medical Group Inc | Current |
Accepting new patients |
Locations
29 Hospital Plz
Ste 502
Stamford, CT 06902
Phone (203) 348-7410
5 High Ridge Park
Ste 103
Stamford, CT 06905
Phone (203) 276-4644
29 Hospital Plz
Ste 601
Stamford, CT 06902
Phone (203) 276-2451
Interoperability endpoints
- pblanchett24156@stamfordhealth.direct-ci.com
- https://fhir4.healow.com/fhir/r4/ABCIBA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 5255 | CT | Yes |
Addresses
Primary practice location
29 Hospital PLZ Ste 502
Stamford, CT 06902-3602
Mailing address
29 Hospital PLZ Ste 502
Stamford, CT 06902-3602
Phone (203) 348-7410
Other providers in Stamford, CT
- Aaron Bisnath
- James Joseph Bivona
- Sareeta Helena Bjerke
- Caroline S Blair
- Susan Blanchard
- Scott W Blanchette
- Calie A Blanco
- Emily M Blau
- Robert R Blizzard III
- Howard R Blum
All providers in Stamford, CT · Adult Health Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.