Individual provider Active NPI

Pamela Carter, PMNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Grand Junction, CO
National Provider Identifier
1982473534
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0999311-NP Issued in CO
Practice address
1006 N 5TH St
Grand Junction, CO 81501-7561
Phone
(970) 579-0003
Fax
(970) 433-7671
NPI assigned
Dec 22, 2023
Last updated
Apr 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X APN.0999311-NP CO Primary

Addresses

Primary practice location

1006 N 5TH St
Grand Junction, CO 81501-7561

Mailing address

1006 N 5TH St
Grand Junction, CO 81501-7561
Phone (970) 579-0003

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
I20240430003820 CO Practitioner - Nurse Practitioner 0446690986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lifespan Psychiatry of ColoradoGroup PAC ID 0749694495, 11 clinicians

Practice addresses (Care Compare)

2140 N 12TH St
Grand Junction, CO 81501-2916
Phone (970) 579-0003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0999311-NPCOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Psychiatry of Colorado Inc. Psychiatric/Mental Health CurrentSince Apr 23, 2024 Accepting new patients
Lifespan Psychiatry of Colorado Single Specialty CurrentSince Apr 23, 2024 Accepting new patients
Lifespan Psychiatry of Colorado Psychiatric/Mental Health PastSince Dec 1, 2024 Accepting new patients

Locations

236 Cottonwood St
Delta, CO 81416
Phone (970) 874-7681

555 Meeker St
Delta, CO 81416
Phone (970) 201-1467

1006 N 5th St
Grand Junction, CO 81501
Phone (970) 640-4697

2140 N 12th St
Grand Junction, CO 81501
Phone (970) 712-6059

637 North Ave
Grand Junction, CO 81501

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, 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": "1703203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1982473534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 N 5TH ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815017561",
            "telephone_number": "970-579-0003",
            "fax_number": "970-433-7671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 N 5TH ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815017561",
            "telephone_number": "970-579-0003",
            "fax_number": "970-433-7671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "PAMELA",
        "credential": "PMNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-22",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0999311-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.