Individual provider Active NPI

Pamela Sue Eckhoff, DNP, FNP-BC

  • Family Nurse Practitioner
  • Cole Camp, MO
National Provider Identifier
1760834774
Registry record updated Jul 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2016021931 Issued in MO
Practice address
1201 E Main St
Cole Camp, MO 65325-1256
Phone
(660) 668-4411
NPI assigned
Jul 1, 2016
Last updated
Jul 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2016

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 2016021931 MO Primary

Addresses

Primary practice location

1201 E Main St
Cole Camp, MO 65325-1256

Mailing address

601 E 14TH St
Sedalia, MO 65301-5972
Phone (660) 826-8833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20160809000877 MO Practitioner - Nurse Practitioner 3779877014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bothwell Regional Health CenterGroup PAC ID 6103714126, 109 clinicians

Practice addresses (Care Compare)

1201 E Main St
Bothwell Cole Camp Clinic
Cole Camp, MO 65325-1256
Phone (660) 668-4411

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2016021931MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bothwell Regional Health Center Current Accepting new patients
Bothwell Regional Health Center Current Accepting new patients
Bothwell Regional Health Center CurrentSince Aug 1, 2016 Accepting new patients
Bothwell Regional Health Center CurrentSince Aug 1, 2016 Accepting new patients

Locations

1201 E Main St
Cole Camp, MO 65325
Phone (660) 668-4411

601 E 14th St
Sedalia, MO 65301
Phone (660) 826-8833

1765 Commercial St
Warsaw, MO 65355
Phone (660) 438-6800

Organizations & group practices 4

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 4

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": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467331200000",
    "number": "1760834774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E 14TH ST",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653015972",
            "telephone_number": "660-826-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E MAIN ST",
            "city": "COLE CAMP",
            "state": "MO",
            "postal_code": "653251256",
            "telephone_number": "660-668-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKHOFF",
        "first_name": "PAMELA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-01",
        "last_updated": "2016-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2016021931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cole Camp, MO

Sources for this page

Verify at the official NPI Registry.