Individual provider Active NPI

Pamela Ammons, NP-C

  • Family Nurse Practitioner
  • Raton, NM
National Provider Identifier
1679138671
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP-55628 Issued in NM
Practice address
166 Hospital Dr
Raton, NM 87740-2002
Phone
(575) 445-3626
Fax
(877) 559-2708
NPI assigned
May 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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 CNP-55628 NM Primary

Addresses

Primary practice location

166 Hospital Dr
Raton, NM 87740-2002

Mailing address

117 Camino de Vida Suite 300
Santa Rosa, NM 88435
Phone (575) 472-4311

Other practice location 1

117 Camino De Vida Ste 300
Santa Rosa, NM 88435-2267
Phone (575) 472-4311

Other identifiers 2

IdentifierTypeStateIssuer
49574744MedicaidNM
821448OtherNMMEDICARE

Other names 1

  • Pamela Fitzgerald Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessica.sanchez@sunrisnm.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20190709001393 NM Practitioner - Nurse Practitioner 9739414020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunrise ClinicsGroup PAC ID 6800226374, 33 clinicians

Practice addresses (Care Compare)

117 Camino de Vida
Suite 300
Santa Rosa, NM 88435-2267
Phone (575) 472-4311

166 Hospital Dr
Raton, NM 87740-2002
Phone (575) 445-3626

2515 Ridge Runner Rd
Las Vegas, NM 87701-4972
Phone (505) 434-0119

901 Baca St
Las Vegas, NM 87701-4972
Phone (505) 454-3218

Hospital & facility affiliations

  • Mt San Rafael Hospital Hospital, Trinidad, CO, CCN 061321
  • Miners' Colfax Medical Center Hospital, Raton, NM, CCN 321307

Merit-based Incentive Payment System (MIPS)

Final score
85.56 of 100Reported as group
Quality
71.49
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP-55628NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Clinics CurrentSince May 30, 2021 Accepting new patients

Locations

901 Baca St
Las Vegas, NM 87701
Phone (505) 454-3218

411 S 3rd St
Raton, NM 87740
Phone (505) 445-3626

166 Hospital Dr
Raton, NM 87740
Phone (505) 445-4111

117 Camino de Vida
Ste 300
Santa Rosa, NM 88435
Phone (575) 472-4311

Organizations & group practices 1

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 2

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": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1679138671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 CAMINO DE VIDA SUITE 300",
            "city": "SANTA ROSA",
            "state": "NM",
            "postal_code": "88435",
            "telephone_number": "575-472-4311",
            "fax_number": "575-472-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 HOSPITAL DR",
            "city": "RATON",
            "state": "NM",
            "postal_code": "877402002",
            "telephone_number": "575-445-3626",
            "fax_number": "877-559-2708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 Camino De Vida Ste 300",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "NM",
            "postal_code": "884352267",
            "country_code": "US",
            "telephone_number": "575-472-4311",
            "fax_number": "877-651-0289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMMONS",
        "first_name": "PAMELA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-06",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-55628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49574744",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "821448",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica.sanchez@sunrisnm.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "166 Hospital Dr",
            "city": "Raton",
            "state": "NM",
            "country_code": "US",
            "postal_code": "877402002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "FITZGERALD",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raton, NM

Sources for this page

Verify at the official NPI Registry.