Pamela Kinsey Bailey, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP024853 Issued in PA

Practice address

750 Willow Valley Lakes Drive
Willow Street, PA 17584

Phone

(717) 464-6200

NPI assigned

Jan 31, 2022

Last updated

Dec 5, 2023By 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 PA

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Willow Valley CommunitiesGroup PAC ID 9234048638, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pamela.bailey.p2@direct.actslife.nextgenshare.com

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.

• Willow Valley Communities

  • Nurse Practitioner
  • Willow Street, PA
  • NPI 1649054511
  Medicare reassignment Care Compare group NPD Authorized official
• Willow Valley Retirement Communities

  dba Integrity Hearing Solutions VIA Willow Valley

  • Audiologist
  • Lancaster, PA
  • NPI 1730450479
  NPD

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1932852977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 BONNEVILLE DR",
            "city": "RONKS",
            "state": "PA",
            "postal_code": "175729641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 WILLOW VALLEY LAKES DRIVE",
            "city": "WILLOW STREET",
            "state": "PA",
            "postal_code": "17584",
            "telephone_number": "717-464-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Bonneville Dr",
            "address_purpose": "LOCATION",
            "city": "Ronks",
            "state": "PA",
            "postal_code": "175729641",
            "country_code": "US",
            "telephone_number": "717-951-6599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "PAMELA",
        "middle_name": "KINSEY",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP024853",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN501535L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Arthur A Asin
• Farhana Bagum, CRNP
• Bradley Barninger, M.A.
• Michelle Beachy
• Cole Brian Beckwith, DPT
• Amy Nicole Beelen, MS CCC-SLP
• Leanne K Beidler, M.D.

• Family Nurse Practitioner in Willow Street, PA
• Providers in Willow Street, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.