Individual provider Active NPI

Pamela Hockerson, FNP-C, APRN

  • Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1922828755
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
TMP-162697 Issued in KS
Practice address
12200 W 106TH St Ste 125
Overland Park, KS 66215-2382
Phone
(913) 599-1396
NPI assigned
Oct 16, 2024
Last updated
Feb 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X TMP-162697 KS Primary
Family Nurse Practitioner 363LF0000X F10240159 MO

Addresses

Primary practice location

12200 W 106TH St Ste 125
Overland Park, KS 66215-2382

Mailing address

9049 SW 10TH St
Blue Springs, MO 64064-7847
Phone (816) 437-4759

Other practice location 1

100 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000
Phone (816) 347-5287

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20250327001603 MO Practitioner - Nurse Practitioner 6800319104 Reassigns benefits to 1 organization
I20250327001748 KS Practitioner - Nurse Practitioner 6800319104 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TMP-162697KSMDNurse Practitioner
F10240159MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centerpoint Womens Services LLC CurrentSince Mar 25, 2025 Accepting new patients

Locations

12200 W 106th St
Ste 125
Overland Park, KS 66215

5701 W 119th St
Ste 305
Shawnee Msn, KS 66209
Phone (816) 350-2024

8600 NE 82nd St
Kansas City, MO 64158
Phone (816) 350-2024

901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1395

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: pamela.hockerson@hca2.eclinicaldirectplus.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1922828755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9049 SW 10TH ST",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640647847",
            "telephone_number": "816-437-4759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 W 106TH ST STE 125",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152382",
            "telephone_number": "913-599-1396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 NE Saint Lukes Blvd",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640866000",
            "country_code": "US",
            "telephone_number": "816-347-5287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOCKERSON",
        "first_name": "PAMELA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-16",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "TMP-162697",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "F10240159",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.