Active NPI
Pamela Aubree Vanmierlo, M.D.
- Occupational Medicine Physician
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- DR.0061596
- Practice address
- 1035 Garden of the Gods Rd Ste 120
Colorado Springs, CO 80907-3416 - Phone
- (719) 365-3200
- Fax
- (719) 365-7680
- NPI assigned
- Apr 9, 2008
- Last updated
- Nov 30, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | 19774 | NV | |
| Occupational Medicine Physician | 2083X0100X | DR.0061596 | CO | Primary |
Addresses
Primary practice location
1035 Garden of the Gods Rd Ste 120
Colorado Springs, CO 80907-3416
Mailing address
2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071
Phone (970) 624-2417
Other practice location 1
975 Ryland St Ste 100
Reno, NV 89502-1669
Phone (775) 982-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Preventive Medicine
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1035 Garden of the Gods Rd
Colorado Springs, CO 80907-9427
Phone (719) 329-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19774 | NV | MD | Occupational Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260
4404 Barranca Ln
Ste 101
Castle Rock, CO 80104
Phone (720) 733-5260
1035 Garden of the Gods Rd
Ste 120
Colorado Springs, CO 80907
Phone (719) 329-1000
1035 Garden of the Gods Rd
Ste 120UCHMG
Colorado Springs, CO 80907
Phone (719) 329-1000
13445 Voyager Pkwy
Colorado Springs, CO 80921
Phone (719) 219-0333
2773 Janitell Rd
Colorado Springs, CO 80906
Phone (719) 365-6478
2999 New Center Pt
Colorado Springs, CO 80922
Phone (719) 364-6940
4323 Integrity Center Pt
Colorado Springs, CO 80917
Phone (719) 591-2558
2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2403
11605 Meridian Market Vw
Ste 184
Peyton, CO 80831
Phone (719) 364-9555
Interoperability endpoints
- avanmierlo168043@ghc.direct-ci.net
Organizations & group practices 2
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.
-
dba UCHealth Medical Group
- General Practice Physician
- Loveland, CO
- NPI 1225356868
-
dba UCHealth Medical Group
- General Practice Physician
- Loveland, CO
- NPI 1366763260
Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701302400000",
"number": "1851564975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2695 ROCKY MOUNTAIN AVE STE 150",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805389071",
"telephone_number": "970-624-2417",
"fax_number": "970-490-4173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 GARDEN OF THE GODS RD STE 120",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809073416",
"telephone_number": "719-365-3200",
"fax_number": "719-365-7680"
}
],
"practiceLocations": [
{
"address_1": "975 Ryland St Ste 100",
"address_purpose": "LOCATION",
"city": "Reno",
"state": "NV",
"postal_code": "895021669",
"country_code": "US",
"telephone_number": "775-982-5000",
"fax_number": "775-982-5225",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANMIERLO",
"first_name": "PAMELA",
"middle_name": "AUBREE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-09",
"last_updated": "2023-11-30",
"certification_date": "2023-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "NV",
"license": "19774",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "CO",
"license": "DR.0061596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.