Active NPI
Pamela Ammons, NP-C
- Family Nurse Practitioner
- Raton, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP-55628
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49574744 | Medicaid | NM | |
| 821448 | Other | NM | MEDICARE |
Other names 1
- Pamela Fitzgerald
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
- Miners' Colfax Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.56 of 100
- Quality
- 71.49
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP-55628 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrise Clinics | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Santa Rosa, NM
- NPI 1164055927
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Raton, NM
- NPI 1083931109
-
- Critical Access Hospital
- Trinidad, CO
- NPI 1184616740
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.