Individual provider Active NPI

Pamala Gail Drever, ACNP

  • Nurse Practitioner
  • Pearland, TX
National Provider Identifier
1659620730
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
254755 Issued in TX
Practice address
6104 West Oaks Circle S
Pearland, TX 77584
Phone
(254) 681-2227
NPI assigned
Sep 5, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 254755 TX
Nurse Practitioner 363L00000X 254755 TX Primary

Addresses

Primary practice location

6104 West Oaks Circle S
Pearland, TX 77584

Mailing address

6104 West Oaks Circle S
Pearland, TX 77584
Phone (254) 681-2227

Other identifiers 6

IdentifierTypeStateIssuer
1659620730OtherTXTRICARE
182797400OtherTXDEPARTMENT OF LABOR
760555765OtherTXUNITED HEALTHCARE
881N40OtherTXBLUE CROSS BLUE SHIELD OF TEXAS
1659620730OtherTXTRICARE SOUTH
312319201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20130110000097 TX Practitioner - Nurse Practitioner 5092968693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Em-I Medical Services PAGroup PAC ID 6507760543, 24 clinicians

Practice addresses (Care Compare)

132 E Hospital Dr
Angleton, TX 77515-4112
Phone (954) 939-5000

Hospital & facility affiliations

  • University of Texas Medical Branch Galveston Hospital, Galveston, TX, CCN 450018

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
254755TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Em-I Medical Services PA Nurse Practitioner CurrentSince May 1, 2015 Accepting new patients
Texas Em-I Medical Services PA Nurse Practitioner CurrentSince May 1, 2015 Accepting new patients

Locations

132 E Hospital Dr
Angleton, TX 77515
Phone (210) 629-3866

13737 Noel Rd
Ste 1600
Dallas, TX 75240
Phone (214) 712-2489

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

605 Holderrieth Blvd
Tomball, TX 77375
Phone (281) 401-7500

200 Blossom St
Webster, TX 77598
Phone (281) 252-7000

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 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": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365465600000",
    "number": "1659620730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6104 WEST OAKS CIRCLE S",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "77584",
            "telephone_number": "254-681-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6104 WEST OAKS CIRCLE S",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "77584",
            "telephone_number": "254-681-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREVER",
        "first_name": "PAMALA",
        "middle_name": "GAIL",
        "name_prefix": "Ms.",
        "credential": "ACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2013-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "254755",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "254755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1659620730",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "182797400",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "760555765",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF TEXAS",
            "identifier": "881N40",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE SOUTH",
            "identifier": "1659620730",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "312319201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.