Individual provider Active NPI

Pamela J. Hutcheson, FNP

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1871535211
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
536412 Issued in TX
Practice address
5440 Harvest Hill Rd Ste 182B
Dallas, TX 75230-1607
Phone
(214) 738-3908
Fax
(214) 614-6148
NPI assigned
Jun 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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 536412 TX Primary

Addresses

Primary practice location

5440 Harvest Hill Rd Ste 182B
Dallas, TX 75230-1607

Mailing address

5440 Harvest Hill Rd Ste 182B
Dallas, TX 75230-1607
Phone (214) 738-3908

Other practice location 1

9696 Skillman St
Suite 285 LB 42
Dallas, TX 75243-8264
Phone (214) 348-7611 ext. 305

Other identifiers 2

IdentifierTypeStateIssuer
180100301MedicaidTX
P00300685OtherTXMEDICARE RR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20060411000375 TX Practitioner - Nurse Practitioner 6002825569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

2029 Fordham LN
Denton, TX 76201-1732
Phone (214) 738-3908

800 College Pkwy
Lewisville, TX 75077-3503
Phone (972) 420-8543

Hospital & facility affiliations

  • Harris Healthcare, Inc. Home health agency, Lewisville, TX, CCN 747503
  • Arcy Hospice Hospice, Flower Mound, TX, CCN 671603

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Versacare Inc. Past Accepting new patients
Medcare House Calls LLC Past Accepting new patients
Richard Williams - Physician Assistant, PLLC Past Accepting new patients

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.

Hospital & facility affiliations 2

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": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1871535211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 HARVEST HILL RD STE 182B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301607",
            "telephone_number": "214-738-3908",
            "fax_number": "214-614-6148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 HARVEST HILL RD STE 182B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301607",
            "telephone_number": "214-738-3908",
            "fax_number": "214-614-6148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9696 Skillman St",
            "address_2": "Suite 285 LB 42",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752438264",
            "country_code": "US",
            "telephone_number": "214-348-7611 x305",
            "fax_number": "214-348-0129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUTCHESON",
        "first_name": "PAMELA",
        "middle_name": "J.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "536412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180100301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00300685",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.