Individual provider Active NPI

Pamela M Demone, APRN-BC, PMHNP, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Abilene, TX
National Provider Identifier
1962629634
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
626151 Issued in TX
Practice address
318 Cedar St
Abilene, TX 79601-5722
Phone
(325) 672-7055
Fax
(325) 672-7066
NPI assigned
Apr 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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 626151 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 626151 TX Primary

Addresses

Primary practice location

318 Cedar St
Abilene, TX 79601-5722

Mailing address

318 Cedar St
Abilene, TX 79601-5722
Phone (325) 672-7055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20110324000943 TX Practitioner - Nurse Practitioner 1658554829 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
626151TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Human Services Commission CurrentSince Sep 1, 2017 Accepting new patients
Health and Human Services Commission Current Accepting new patients
Jamison Professional Counseling Center Inc Past Accepting new patients

Locations

2501 Maple St
Abilene, TX 79602
Phone (325) 692-4053

4001 Highway 36 S
Brenham, TX 77833
Phone (979) 277-1327

Organizations & group practices 3

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": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1962629634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 CEDAR ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796015722",
            "telephone_number": "325-672-7055",
            "fax_number": "325-672-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 CEDAR ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796015722",
            "telephone_number": "325-672-7055",
            "fax_number": "325-672-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMONE",
        "first_name": "PAMELA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "APRN-BC, PMHNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "626151",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "626151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.