Individual provider Active NPI

Pamela Lois Bellow, FNP

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1740256189
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
002176 Issued in NV
Practice address
6360 Boulder Hwy
Las Vegas, NV 89122-7301
Phone
(725) 228-4520
Fax
(877) 889-5390
NPI assigned
Feb 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 538632 TX
Nurse Practitioner 363L00000X 002176 NV Primary

Addresses

Primary practice location

6360 Boulder Hwy
Las Vegas, NV 89122-7301

Mailing address

6360 Boulder Hwy
Las Vegas, NV 89122-7301
Phone (725) 228-4520

Other identifiers 2

IdentifierTypeStateIssuer
V71963OtherNVMEDICARE
1740256189MedicaidNV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address PBellow@centerwell.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230707000003 LA Practitioner - Nurse Practitioner 2668433517 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002176NVMDNurse Practitioner
538632TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care (la) PC Current Accepting new patients
Centerwell Senior Primary Care (la) PC CurrentSince Mar 29, 2023 Accepting new patients
Centerwell Senior Primary Care (la) PC CurrentSince Mar 29, 2023 Accepting new patients
Baylor College of Medicine Past Accepting new patients
Healthcare for the Homeless-Houston Past Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

4700 Millenia Blvd
Orlando, FL 32839
Phone (407) 924-2399

2900 E Texas St
Ste 100
Bossier City, LA 71111
Phone (318) 606-6737

4050 Ryan St
Lake Charles, LA 70605
Phone (337) 426-1176

Interoperability endpoints

  • Direct secure messaging: pbellow@centerwell.eclinicaldirectplus.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1140912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1740256189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 BOULDER HWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891227301",
            "telephone_number": "725-228-4520",
            "fax_number": "877-889-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 BOULDER HWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891227301",
            "telephone_number": "725-228-4520",
            "fax_number": "877-889-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLOW",
        "first_name": "PAMELA",
        "middle_name": "LOIS",
        "name_prefix": "Miss",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-26",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "538632",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "002176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "V71963",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740256189",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PBellow@centerwell.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6360 Boulder Hwy",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891227301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.