Individual provider Active NPI

Pam Rawat-Katoch

  • Family Nurse Practitioner
  • Crystal River, FL
National Provider Identifier
1649046624
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11027079 Issued in FL
Practice address
6038 W Nordling Loop
Crystal River, FL 34429-8715
Phone
(352) 563-5070
NPI assigned
Nov 30, 2023
Last updated
Nov 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11027079 FL Primary

Addresses

Primary practice location

6038 W Nordling Loop
Crystal River, FL 34429-8715

Mailing address

PO Box 2012
Lecanto, FL 34460-2012
Phone (352) 563-5070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240125004651 FL Practitioner - Nurse Practitioner 7315390341 Reassigns benefits to 2 organizations

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
Quality Healthcare Services PLLCGroup PAC ID 5698012441, 3 clinicians
Internal Medicine and Pediatrics Wellness CenterGroup PAC ID 9739103920, 6 clinicians

Practice addresses (Care Compare)

6026 W Nordling Loop
Crystal River, FL 34429-8715
Phone (352) 354-4476

6038 W Nordling Loop
Crystal River, FL 34429-8715
Phone (352) 563-5070

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Healthcare Services PLLC CurrentSince Apr 1, 2024 Accepting new patients
Internal Medicine & Pediatrics Wellness Center CurrentSince Jan 29, 2024 Accepting new patients

Locations

6026 W Nordling Loop
Crystal River, FL 34429
Phone (352) 354-4476

6038 W Nordling Loop
Crystal River, FL 34429
Phone (352) 563-5070

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22703/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 1

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": "1701302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1649046624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2012",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344602012",
            "telephone_number": "352-563-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6038 W NORDLING LOOP",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344298715",
            "telephone_number": "352-563-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWAT-KATOCH",
        "first_name": "PAM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11027079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal River, FL

Sources for this page

Verify at the official NPI Registry.