Individual provider Active NPI

Pamela Barco, CRNP

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1730408683
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP017934 Issued in PA
Practice address
801 W Girard Ave
Philadelphia, PA 19122-4212
Phone
(215) 787-2084
NPI assigned
May 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN608099 PA
Family Nurse Practitioner 363LF0000X SP017934 PA Primary

Addresses

Primary practice location

801 W Girard Ave
Philadelphia, PA 19122-4212

Mailing address

1410 E Cliveden St
Philadelphia, PA 19150-3707
Phone (215) 908-2686

Other practice location 1

1410 E Cliveden St
Philadelphia, PA 19150-3707
Phone (267) 463-1592

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20180212000791 PA Practitioner - Nurse Practitioner 2860752987 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN608099PAMDRegistered Nurse
SP017934PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Residentialist Housecall Med GRP, PC a Pennsylvania Corp CurrentSince Oct 25, 2024 Accepting new patients
Public Health Mangement Corporation CurrentSince Jul 22, 2019 Accepting new patients
Public Health Management Corporation Current Accepting new patients
Public Health Management Corporation CurrentSince Jul 22, 2019 Accepting new patients
Public Health Management Corporation Past Accepting new patients
Housecall Doctors Medical Group Inc PastSince Oct 25, 2024 Accepting new patients

Locations

3800 Kilroy Airport Way
Ste 270
Long Beach, CA 90806
Phone (949) 366-1053

125 S 9th St
Philadelphia, PA 19107
Phone (215) 592-4500

4190 City Ave
Ste 528
Philadelphia, PA 19131
Phone (866) 453-8800

5675 N Front St
Philadelphia, PA 19120
Phone (215) 224-0440

1500 Market St
Ste LM500
Philadelphia, PA 19102
Phone (215) 731-6150

1221 N 19th St
Philadelphia, PA 19121
Phone (215) 684-3430

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1730408683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 E CLIVEDEN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191503707",
            "telephone_number": "215-908-2686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W GIRARD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191224212",
            "telephone_number": "215-787-2084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1410 E Cliveden St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191503707",
            "country_code": "US",
            "telephone_number": "267-463-1592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARCO",
        "first_name": "PAMELA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-18",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN608099",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP017934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.