Individual provider Active NPI

Pamela J Hill, CRNP

  • Nurse Practitioner
  • Florence, AL
National Provider Identifier
1720178502
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-038375 Issued in AL
Practice address
2115 Cloyd Blvd
Suite 1
Florence, AL 35630-7512
Phone
(256) 718-6858
Fax
(256) 718-6058
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-038375 AL Primary

Addresses

Primary practice location

2115 Cloyd Blvd
Suite 1
Florence, AL 35630-7512

Mailing address

2115 Cloyd Blvd
Suite 1
Florence, AL 35630-7512
Phone (256) 718-6858

Other identifiers 2

IdentifierTypeStateIssuer
51019625OtherALBLUE CROSS NUMBER
P00095796OtherALRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20040315000529 AL Practitioner - Nurse Practitioner 8527957794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mitchell Internal Medicine ClinicGroup PAC ID 0143229476, 2 clinicians

Practice addresses (Care Compare)

404 E Dr Hicks Blvd
Suite 1
Florence, AL 35630-5763
Phone (256) 716-6858

Hospital & facility affiliations

  • North Alabama Medical Center Hospital, Florence, AL, CCN 010006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-038375ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mitchell Internal Medicine Clinic CurrentSince Dec 7, 2006 Accepting new patients
The Shoals Clinic PC Past Accepting new patients

Locations

404 E Dr Hicks Blvd
#1
Florence, AL 35630
Phone (256) 716-6858

2115 Cloyd Blvd
Ste 1
Florence, AL 35630
Phone (256) 718-0099

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1720178502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 CLOYD BLVD",
            "address_2": "SUITE 1",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356307512",
            "telephone_number": "256-718-6858",
            "fax_number": "256-718-6058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 CLOYD BLVD",
            "address_2": "SUITE 1",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356307512",
            "telephone_number": "256-718-6858",
            "fax_number": "256-718-6058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "PAMELA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-038375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS NUMBER",
            "identifier": "51019625",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00095796",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.