NPIMap

Individual provider Active NPI

Pamela Gambrell, NP

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1821552308
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3017423 Issued in KY
Practice address
2355 Poplar Level Rd Ste G1
Louisville, KY 40217-1395
Phone
(502) 636-7242
Fax
(502) 636-7130
NPI assigned
Jan 29, 2019
Last updated
Sep 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95010686 CA
Family Nurse Practitioner 363LF0000X 3017423 KY Primary

Addresses

Primary practice location

2355 Poplar Level Rd Ste G1
Louisville, KY 40217-1395

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other practice location 1

38920 Trade Center Dr
Palmdale, CA 93551-3715
Phone (760) 951-0065

Other practice location 2

3 Audubon Plaza Dr Ste 560
Louisville, KY 40217-1376
Phone (502) 636-8004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20241024001032 KY Practitioner - Nurse Practitioner 6305176058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

2355 Poplar Level Rd
Suite 11
Louisville, KY 40217-1395
Phone (502) 636-8121

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
744535CAMDLicensed Vocational Nurse
3017423KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Nurse Practitioner CurrentSince Nov 1, 2024 Accepting new patients
Community Medical Associates, Inc. Multi-Specialty Current Accepting new patients
Community Medical Associates, Inc. Multi-Specialty CurrentSince Nov 1, 2024 Accepting new patients
Norton Hospitals, Inc Past Accepting new patients
Redlands Community Hospital Past Accepting new patients
Dignity Health Past Accepting new patients
Norton Hospitals Inc Past Accepting new patients
Community Medical Associates, Inc. Multi-Specialty Past Accepting new patients
Dignity Health Past Accepting new patients
Norton Hospitals, Inc Past Accepting new patients
Norton Hospitals, Inc Multi-Specialty Past Accepting new patients
Norton Hospitals Inc Past Accepting new patients
Norton Hospitals, Inc Past Accepting new patients
Norton Hospitals, Inc Past Accepting new patients

Locations

2355 Poplar Level Rd
Ste G1
Louisville, KY 40217
Phone (502) 636-8121

3 Audubon Plaza Dr
Ste 560
Louisville, KY 40217
Phone (502) 636-8004

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: pamelagambrell@wdsmdinc.allscriptsdirect.net
  • Direct secure messaging: pgambrell305147@direct.nortonhealthcare.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1821552308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 POPLAR LEVEL RD STE G1",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171395",
            "telephone_number": "502-636-7242",
            "fax_number": "502-636-7130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38920 Trade Center Dr",
            "address_purpose": "LOCATION",
            "city": "Palmdale",
            "state": "CA",
            "postal_code": "935513715",
            "country_code": "US",
            "telephone_number": "760-951-0065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Audubon Plaza Dr Ste 560",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402171376",
            "country_code": "US",
            "telephone_number": "502-636-8004",
            "fax_number": "502-636-8384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAMBRELL",
        "first_name": "PAMELA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-29",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95010686",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3017423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.