Individual provider Active NPI

Pamela Dobyns, FNP

  • Family Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1932867231
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0996927-NP Issued in CO
Practice address
2739 E Las Vegas St
Colorado Springs, CO 80906-1594
Phone
(719) 390-2000
NPI assigned
Dec 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0996927-NP CO Primary
Family Medicine Physician 207Q00000X APN.0996927-NP CO

Addresses

Primary practice location

2739 E Las Vegas St
Colorado Springs, CO 80906-1594

Mailing address

15675 Clearwater Dr
Elbert, CO 80106-8846
Phone (719) 229-1875

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20221004001238 CO Practitioner - Nurse Practitioner 4082090774 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0996927-NPCOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
E Dawn Martin Caciii LLC CurrentSince Mar 29, 2024 Accepting new patients

Locations

140 S Parkside Dr
Colorado Springs, CO 80910
Phone (719) 358-7338

Interoperability endpoints

  • Direct secure messaging: pdobyns35451@direct.davitaphysiciansolutions.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1932867231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15675 CLEARWATER DR",
            "city": "ELBERT",
            "state": "CO",
            "postal_code": "801068846",
            "telephone_number": "719-229-1875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2739 E LAS VEGAS ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809061594",
            "telephone_number": "719-390-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBYNS",
        "first_name": "PAMELA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-03",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0996927-NP",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "APN.0996927-NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.