NPIMap

Individual provider Active NPI

Pamela Graham, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Woodland, PA
National Provider Identifier
1881453454
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP029447 Issued in PA
Practice address
3018 Shawville Hwy
Woodland, PA 16881-8700
Phone
(814) 592-4271
NPI assigned
Mar 18, 2024
Last updated
Mar 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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 SP029447 PA Primary

Addresses

Primary practice location

3018 Shawville Hwy
Woodland, PA 16881-8700

Mailing address

3018 Shawville Hwy
Woodland, PA 16881-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20250805002164 PA Practitioner - Nurse Practitioner 6002324548 Reassigns benefits to 1 organization

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
Clearfield-Jefferson Primary Care Associates PCGroup PAC ID 6002064433, 73 clinicians

Practice addresses (Care Compare)

33 Beaver Dr
Suite 1
Du Bois, PA 15801-2434
Phone (814) 503-8070

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clearfield-Jefferson Primary Care Associates PC CurrentSince Jul 1, 2025 Accepting new patients
Clearfield Professional Group, LTD. Past Accepting new patients

Locations

15 N Front St
Clearfield, PA 16830
Phone (570) 561-2990

33 Beaver Dr
Ste 1
Dubois, PA 15801
Phone (570) 561-2990

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.

Hospital & facility affiliations 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1881453454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3018 SHAWVILLE HWY",
            "city": "WOODLAND",
            "state": "PA",
            "postal_code": "168818700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3018 SHAWVILLE HWY",
            "city": "WOODLAND",
            "state": "PA",
            "postal_code": "168818700",
            "telephone_number": "814-592-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "PAMELA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP029447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland, PA

Sources for this page

Verify at the official NPI Registry.