Active NPI
Pamela A Dye, RN, MSN, APRN
- Gerontology Nurse Practitioner
- Independence, OH
National Provider Identifier
1780012864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- COA 15200-NP
- Practice address
- 6100 Rockside Woods Blvd N
Suite 425
Independence, OH 44131-2366 - Phone
- (216) 643-2780
- Fax
- (216) 524-0111
- NPI assigned
- Oct 28, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | COA 15200-NP | OH | Primary |
Addresses
Primary practice location
6100 Rockside Woods Blvd N
Suite 425
Independence, OH 44131-2366
Mailing address
6100 Rockside Woods Blvd N
Suite 425
Independence, OH 44131-2366
Phone (216) 643-2780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.57 of 100
- Quality
- 58.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 86.71
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA 15200-NP | OH | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Medical Inc | Current | Accepting new patients | |
| Mobile Medical, Inc. | Gerontology | Current | Accepting new patients |
| Mobile Medical, Inc. | Current | Accepting new patients | |
| Crossroads Hospice of Northeast Ohio, LLC | Past | Accepting new patients | |
| Mobile Medical, Inc. | Past | Accepting new patients |
Locations
3255 Levis Commons Blvd
Perrysburg, OH 43551
Phone (419) 874-0393
740 Commerce Dr
Ste A
Perrysburg, OH 43551
Phone 24852821166
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.
-
- Optometrist
- Perrysburg, OH
- NPI 1689620015
-
- Geriatric Medicine (Family Medicine) Physician
- Perrysburg, OH
- NPI 1558682179
Gerontology
-
- Dentist
- Perrysburg, OH
- NPI 1629228572
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Uniontown, OH
- NPI 1831806173
-
- Podiatrist
- Perrysburg, OH
- NPI 1003066747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382918400000",
"number": "1780012864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6100 ROCKSIDE WOODS BLVD N",
"address_2": "SUITE 425",
"city": "INDEPENDENCE",
"state": "OH",
"postal_code": "441312366",
"telephone_number": "216-643-2780",
"fax_number": "216-524-0111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 ROCKSIDE WOODS BLVD N",
"address_2": "SUITE 425",
"city": "INDEPENDENCE",
"state": "OH",
"postal_code": "441312366",
"telephone_number": "216-643-2780",
"fax_number": "216-524-0111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYE",
"first_name": "PAMELA",
"middle_name": "A",
"credential": "RN, MSN, APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-28",
"last_updated": "2013-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "OH",
"license": "COA 15200-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Independence, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2013; 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.