NPIMap

Individual provider Active NPI

Pamela Ann Ezzell, APRN, FNP-C

  • Family Nurse Practitioner
  • Cisco, TX
National Provider Identifier
1780315267
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1085710 Issued in TX
Practice address
1619 Highway 206
Cisco, TX 76437-6447
Phone
(254) 442-8802
Fax
(254) 442-0686
NPI assigned
Jun 23, 2022
Last updated
Jan 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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 1085710 TX Primary

Addresses

Primary practice location

1619 Highway 206
Cisco, TX 76437-6447

Mailing address

1619 Highway 206
Cisco, TX 76437-6447
Phone (254) 442-8802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220802001094 TX Practitioner - Nurse Practitioner 9830571231 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2314 W Commerce St
Eastland, TX 76448-2278
Phone (254) 629-5001

304 S Daugherty Ave
Eastland, TX 76448-2609
Phone (254) 631-5342

304 S Daugherty St
Eastland, TX 76448-2609

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1085710TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC CurrentSince Mar 2, 2023 Accepting new patients
Stephens Memorial Hospital District CurrentSince May 15, 2023 Accepting new patients
Texas Healthy Aging and Hormone Therapy LLC CurrentSince Jul 5, 2022 Accepting new patients
Stephens Memorial Hospital District CurrentSince May 15, 2023 Accepting new patients
Stephens Memorial Hospital District Current Accepting new patients
Eastland Memorial Hospital District CurrentSince Oct 1, 2025 Accepting new patients
Eastland Memorial Hospital District CurrentSince Oct 1, 2025 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Mar 2, 2023 Accepting new patients
Southern Physician Group Management LLC CurrentSince Jun 1, 2023 Accepting new patients
Eastland Memorial Hospital District Past Accepting new patients

Locations

101 S Hartford St
Breckenridge, TX 76424
Phone (254) 559-3363

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

1619 State Highway 206
Cisco, TX 76437
Phone (254) 442-1441

3333 N Foster Maldonado Blvd
Eagle Pass, TX 78852
Phone (830) 733-5321

304 S Daugherty Ave
Eastland, TX 76448
Phone (254) 629-2601

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

2517 Highway 180 W
Ste A
Mineral Wells, TX 76067
Phone (940) 325-3706

200 Walnut St
Ranger, TX 76470
Phone (254) 631-5342

Organizations & group practices 10

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 3

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": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1780315267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 HIGHWAY 206",
            "city": "CISCO",
            "state": "TX",
            "postal_code": "764376447",
            "telephone_number": "254-442-8802",
            "fax_number": "254-442-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 HIGHWAY 206",
            "city": "CISCO",
            "state": "TX",
            "postal_code": "764376447",
            "telephone_number": "254-442-8802",
            "fax_number": "254-442-0686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZZELL",
        "first_name": "PAMELA",
        "middle_name": "ANN",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-23",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1085710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cisco, TX

Sources for this page

Verify at the official NPI Registry.