Pamela Marie Gossman, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

20195 Issued in CA

Practice address

73261 Hwy 111, Suite 100, Studio #25
Palm Desert, CA 92260

Phone

(630) 276-6124

NPI assigned

Jun 5, 2006

Last updated

Aug 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• SNF Wound Care

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1114393311
  Medicare reassignment NPD
• Woundcare Unlimited

  • Nurse Practitioner
  • Schaumburg, IL
  • NPI 1134164684

  Family

  NPD (past) Authorized official
• Medicall Physicians Group, LTD.

  • Geriatric Medicine (Internal Medicine) Physician
  • Schaumburg, IL
  • NPI 1194861286
  NPD (past)
• Mobile Woundcare Consultants

  • Nurse Practitioner
  • Des Plaines, IL
  • NPI 1295727469
  NPD (past)
• Woundcare on Wheels Inc

  • Wound Care Registered Nurse
  • Naperville, IL
  • NPI 1043342223
  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1922047976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 AZZURO DR",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922110792",
            "telephone_number": "630-276-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73261 HWY 111, SUITE 100, STUDIO #25",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "92260",
            "telephone_number": "630-276-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSSMAN",
        "first_name": "PAMELA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209-003329",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "20195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Migdalia Gonzalez, COTA
• Nalleli Gonzalez
• Elijah DW Goodman
• Melanie Gordon
• Kimanecha Goree
• Martina Gotter, P.T. , D.SC.
• Sky R Goudey, PT
• Grancare LLC (Monterey Palms Healthcare Center)
• Teresa Graney, LCSW
• Barry Grant, D.D.S.

• Family Nurse Practitioner in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.