NPIMap

Individual provider Active NPI

Pamela A Bills, APRN

  • Family Nurse Practitioner
  • Greensburg, KY
National Provider Identifier
1720079064
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3003445 Issued in KY
Practice address
426 Commerce Dr
Greensburg, KY 42743
Phone
(270) 932-2424
Fax
(270) 932-2522
NPI assigned
Nov 4, 2005
Last updated
Jul 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 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 3003445 KY Primary

Addresses

Primary practice location

426 Commerce Dr
Greensburg, KY 42743

Mailing address

PO Box 1080
Burkesville, KY 42717-1080
Phone (270) 858-6655

Other identifiers 2

IdentifierTypeStateIssuer
78006095MedicaidKY
11450850OtherCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040512000851 KY Practitioner - Nurse Practitioner 9638168727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PT Pros, IncGroup PAC ID 0143139337, shared by 14 NPIs, 263 clinicians

Practice addresses (Care Compare)

102 Rhodes St
Gamaliel, KY 42140-8942
Phone (270) 457-3000

360 Keen St
Burkesville, KY 42717-7915
Phone (270) 864-2889

792 Campbellsville Rd
Greensburg, KY 42743-1460
Phone (270) 973-5400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3003445KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Family Medical Center Inc CurrentSince Sep 19, 2018 Accepting new patients
Cumberland Family Medical Center Inc CurrentSince Sep 19, 2018 Accepting new patients
Cumberland Family Medical Center Inc Past Accepting new patients
Cumberland Family Medical Center Inc PastSince Jul 20, 2021 Accepting new patients
Genesis Enterprises, Inc. Past Accepting new patients

Locations

360 Keen St
Burkesville, KY 42717
Phone (270) 864-1472

100 Kidz Korner
Greensburg, KY 42743
Phone (270) 932-4388

106 Brummal Ave
Greensburg, KY 42743
Phone (270) 932-6615

1911 Campbellsville Rd
Greensburg, KY 42743
Phone (270) 932-2221

302 Brummal Ave
Greensburg, KY 42743
Phone (270) 932-6610

401 E Hodgenville Ave
Greensburg, KY 42743
Phone (270) 932-2743

Organizations & group practices 6

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 5

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": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1720079064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1080",
            "city": "BURKESVILLE",
            "state": "KY",
            "postal_code": "427171080",
            "telephone_number": "270-858-6655",
            "fax_number": "270-858-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 COMMERCE DR",
            "city": "GREENSBURG",
            "state": "KY",
            "postal_code": "42743",
            "telephone_number": "270-932-2424",
            "fax_number": "270-932-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILLS",
        "first_name": "PAMELA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-04",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3003445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78006095",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11450850",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, KY

Sources for this page

Verify at the official NPI Registry.