Individual provider Active NPI

Pamela Jo Womack, N.P.

  • Nurse Practitioner
  • Denver, CO
National Provider Identifier
1871698563
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9474400 Issued in FL
Practice address
3455 Ringsby CT
Unit 102
Denver, CO 80216-4922
Phone
(303) 500-1518
Fax
(720) 598-0440
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery Physician 2086S0127X RN0000064421 TN
Acute Care Nurse Practitioner 363LA2100X 4539 CO
Nurse Practitioner 363L00000X APRN9474400 FL Primary
Nurse Practitioner 363L00000X RN290640 GA

Addresses

Primary practice location

3455 Ringsby CT
Unit 102
Denver, CO 80216-4922

Mailing address

3455 Ringsby CT
Unit 102
Denver, CO 80216-4922
Phone (303) 500-1518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, VA, TX, MA, GA, NV, OR, NC, OH, CA, KS, DC12 enrollments
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 12

Enrollment IDStateProvider typePAC IDDetails
I20050505001212 CO Practitioner - Nurse Practitioner 0840230181 Reassigns benefits to 1 organization
I20170908002899 VA Practitioner - Nurse Practitioner 0840230181 Reassigns benefits to 1 organization
I20181003002425 TX Practitioner - Nurse Practitioner 0840230181
I20181119002410 MA Practitioner - Nurse Practitioner 0840230181 Reassigns benefits to 1 organization
I20200122000901 GA Practitioner - Nurse Practitioner 0840230181 Reassigns benefits to 1 organization
I20200602001625 NV Practitioner - Nurse Practitioner 0840230181
I20210219000833 OR Practitioner - Nurse Practitioner 0840230181 Reassigns benefits to 1 organization
I20210226000250 NC Practitioner - Nurse Practitioner 0840230181 Reassigns benefits to 1 organization
I20220128000364 OH Practitioner - Nurse Practitioner 0840230181
I20220203001490 CA Practitioner - Nurse Practitioner 0840230181 Reassigns benefits to 1 organization
I20220401001212 KS Practitioner - Nurse Practitioner 0840230181
I20220606000817 DC Practitioner - Nurse Practitioner 0840230181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
64.75 of 100Reported as group
Quality
55.37
Improvement activities
40
Cost
47.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12153TNMDPharmacist
RN0000064421TNMDTrauma Surgery Physician
RN290640GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dispatchhealth, PC CurrentSince Aug 21, 2021 Accepting new patients
True North Health Navigation LLC CurrentSince Dec 10, 2019 Accepting new patients
True North Health Navigation LLC CurrentSince Sep 1, 2023 Accepting new patients
Dispatchhealth-Texas P a CurrentSince Dec 1, 2018 Accepting new patients
Dispatchhealth-Ca, PC CurrentSince Jan 17, 2022 Accepting new patients
Dispatchhealth Massachusetts PC CurrentSince Nov 1, 2018 Accepting new patients
Dispatchhealth-Oregon PC CurrentSince Nov 13, 2020 Accepting new patients
Excella Home Health Agency, LLC Past Accepting new patients
True North Health Navigation LLC PastSince Feb 26, 2022 Accepting new patients
Dispatchhealth-Florida Inc. PastSince Aug 1, 2021 Accepting new patients
Professional Portable Radiologic Services Inc. Past Accepting new patients
Regional Trauma Surgeons Trauma Surgery Past Accepting new patients
Dispatchhealth Advanced Care - Washington PC PastSince Oct 21, 2020 Accepting new patients

Locations

140 Centennial Way
Tustin, CA 92780
Phone (706) 315-2523

3827 N Lafayette St
Denver, CO 80205
Phone (303) 898-9230

3455 Ringsby Ct
Ste 102
Denver, CO 80216
Phone 3035001518 ext. 30350

1 W Court Sq
Ste 750
Decatur, GA 30030
Phone (404) 494-7888

123 Park Ave
West Springfield, MA 01089
Phone (413) 732-8700

4220 Apex Hwy
Ste 160
Durham, NC 27713
Phone (919) 897-8784

205 SE Spokane St
Ste 300
Portland, OR 97202
Phone (503) 388-4255

211 Highland Cross Dr
Houston, TX 77073
Phone (713) 422-2920

2201 N Central Expy
Ste 125
Richardson, TX 75080
Phone (214) 377-1790

7560 Glenview Dr
Ste 100
Richland Hills, TX 76180
Phone (817) 435-1970

4335 W Piedras Dr
Ste 101
San Antonio, TX 78228
Phone (210) 891-5235

Interoperability endpoints

  • Direct secure messaging: pamela.womack.1@13869.direct.athenahealth.com

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 and National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1871698563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 RINGSBY CT",
            "address_2": "UNIT 102",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802164922",
            "telephone_number": "303-500-1518",
            "fax_number": "720-598-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 RINGSBY CT",
            "address_2": "UNIT 102",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802164922",
            "telephone_number": "303-500-1518",
            "fax_number": "720-598-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOMACK",
        "first_name": "PAMELA",
        "middle_name": "JO",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "TN",
            "license": "RN0000064421",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CO",
            "license": "4539",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9474400",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN290640",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.