Individual provider Active NPI

Pamela Joy Webber, FNP

  • Family Nurse Practitioner
  • Bessemer, MI
National Provider Identifier
1891934543
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704208006 Issued in MI
Practice address
N10356 Sunset View St
Bessemer, MI 49911-9651
Phone
(906) 663-6970
NPI assigned
Feb 19, 2009
Last updated
Mar 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1179033 WI
Family Nurse Practitioner 363LF0000X 4704208006 MI Primary
General Practice Registered Nurse 163WG0000X 4704208006 MI
General Practice Registered Nurse 163WG0000X 12560130 WI

Addresses

Primary practice location

N10356 Sunset View St
Bessemer, MI 49911-9651

Mailing address

N10758 Cannonball CT.
Bessemer, MI 49911-9696
Phone (906) 663-6970

Other names 1

  • Pamela Joy Nelson Other name

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
I20220428000127 TX Practitioner - Nurse Practitioner 0244627958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

53585 Nokomis Rd
Ashland, WI 54806-4272
Phone (715) 682-7133

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704208006MIMDGeneral Practice Registered Nurse
12560130WIMDGeneral Practice Registered Nurse
1179033WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bad River Band of Lake Superior Tribe of Chippewa Indains Wis CurrentSince Apr 11, 2022 Accepting new patients
Bad River Band of Lake Superior Tribe of Chippewa Indians Wis Current Accepting new patients
Bad River Band of Lake Superior Tribe of Chippewa Indians Wis. CurrentSince Apr 11, 2022 Accepting new patients

Locations

53585 Nokomis Rd
Ashland, WI 54806
Phone (715) 682-7133

Interoperability endpoints

  • Direct secure messaging: p.webber@brhwc.directbygreenway.com

Organizations & group practices 3

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 1

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": "1235001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1891934543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N10758 CANNONBALL CT.",
            "city": "BESSEMER",
            "state": "MI",
            "postal_code": "499119696",
            "telephone_number": "906-663-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N10356 SUNSET VIEW ST",
            "city": "BESSEMER",
            "state": "MI",
            "postal_code": "499119651",
            "telephone_number": "906-663-6970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBBER",
        "first_name": "PAMELA",
        "middle_name": "JOY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-19",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "1179033",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704208006",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MI",
            "license": "4704208006",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "WI",
            "license": "12560130",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "NELSON",
            "middle_name": "JOY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bessemer, MI

Sources for this page

Verify at the official NPI Registry.