Pamela R Wyatt, CNM WHCNP

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

Practice address

117 Medical Cir
Sulphur Springs, TX 75482-2138

Phone

(903) 885-8471

Fax

(903) 439-6492

NPI assigned

May 5, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX2 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

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Texas Border Health ClinicGroup PAC ID 8820038565, shared by 11 NPIs, 55 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, 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.

• Marie Hollis, M.D. PLLC

  • Obstetrics & Gynecology Physician
  • Greenville, TX
  • NPI 1871881821
  Medicare reassignment NPD
• Obhg Texas Holdings, P.a.

  • Obstetrics & Gynecology Physician
  • Austin, TX
  • NPI 1083917769
  Medicare reassignment NPD
• Charles D Thompson MD PLLC

  • Obstetrics & Gynecology Physician
  • Greenville, TX
  • NPI 1528378353
  NPD
• East Texas Border Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Marshall, TX
  • NPI 1023630969
  NPD
• East Texas Border Health Clinic

  dba Genesis PrimeCare

  • Federally Qualified Health Center (FQHC)
  • Atlanta, TX
  • NPI 1366828303
  NPD
• East Texas Border Health Clinic

  dba Genesis Prime Care

  • Federally Qualified Health Center (FQHC)
  • Marshall, TX
  • NPI 1558329797
  NPD
• East Texas Border Health Clinic

  dba Genesis Primecare

  • Federally Qualified Health Center (FQHC)
  • Texarkana, TX
  • NPI 1598366718
  NPD
• Community Health Service Agency, Inc

  dba Carevide

  • Federally Qualified Health Center (FQHC)
  • Bonham, TX
  • NPI 1184607723
  NPD (past)

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1942592225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 JOE RAMSEY BLVD E STE E",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017770",
            "telephone_number": "903-454-1722",
            "fax_number": "903-454-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 MEDICAL CIR",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754822138",
            "telephone_number": "903-885-8471",
            "fax_number": "903-439-6492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3900 Joe Ramsey Blvd E Ste E",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "TX",
            "postal_code": "754017770",
            "country_code": "US",
            "telephone_number": "903-454-1722",
            "fax_number": "903-454-1750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYATT",
        "first_name": "PAMELA",
        "middle_name": "R",
        "credential": "CNM WHCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-05",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "629757",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED NURSE PRACTIONER",
            "identifier": "629757",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristi Ann Williams, RPH
• Linda S. Williamson, M.S., L.P.C.
• Leanne Willis
• Stacey M Willmon, OT
• Alyssa Wimberley, OTR
• Tana Yager, LPC
• Jay A Yates, MD
• Chun-Hong Cathy Zhu, PHARMD

• Advanced Practice Midwife in Sulphur Springs, TX
• Providers in Sulphur Springs, TX by specialty
• Advanced Practice Midwife in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.
• 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.