Pamala Sue Pellon-Irwin, FNP APRN BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP81229 Issued in ME

Practice address

529 S Patten Rd
Patten, ME 04765-3007

Phone

(866) 366-5842

NPI assigned

Oct 19, 2006

Last updated

Jul 6, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME

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

Specialty

Nurse Practitioner

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Katahdin Valley Health CenterGroup PAC ID 4880659903, 66 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Houlton Regional Hospital Hospital, Houlton, ME, CCN 201308

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7377/brand/1/csg/1/fhir/r4
• Direct secure messaging: pamala.pellon-irwin.1@7377.direct.athenahealth.com

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.

• Katahdin Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Houlton, ME
  • NPI 1376618546
  Medicare reassignment Care Compare group NPD
• Mainehealth

  • General Acute Care Hospital
  • Farmington, ME
  • NPI 1558305847
  Medicare reassignment NPD
• Katahdin Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Millinocket, ME
  • NPI 1003034406
  NPD
• Katahdin Valley Health Center

  • Community/Retail Pharmacy
  • Brownville, ME
  • NPI 1699479311
  NPD
• Katahdin Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Patten, ME
  • NPI 1669450524
  NPD (past)
• Penobscot Community Health Center

  dba Specialty Clinic

  • Specialist
  • Bangor, ME
  • NPI 1427338854
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Houlton Regional Hospital

  • Critical Access Hospital
  • Houlton, ME
  • NPI 1508823741
  Care Compare affiliation

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1770665986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1599",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044021599",
            "telephone_number": "207-992-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 S PATTEN RD",
            "city": "PATTEN",
            "state": "ME",
            "postal_code": "047653007",
            "telephone_number": "866-366-5842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLON-IRWIN",
        "first_name": "PAMALA",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "FNP APRN BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP81229",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "R043787",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAINE STATE BOARD OF NURS",
            "identifier": "R043787",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heidi L Osgood-Evers, RN
• Ronald Denis Ouellette, DC
• Patten Drug LLC
• Patten Drug LLC (Patten Drug Company)
• David N Pellin, PA-C
• Crystal Holly Pipes, REGISTERED NURSE
• Susan Plissey, APRN-CNP
• Karen Possessky, LCSW
• Danica L Pray, MA
• Cynthia Qualey, RDH

• Family Nurse Practitioner in Patten, ME
• Providers in Patten, ME by specialty
• Family Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.