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PAMELA JOAN MAHAFFEY DNP, ACNS-BC, RN
NPI 1164836763
Clinical Nurse Specialist - Adult Health in Sunbury, OH

Active since June 12, 2014PECOS Enrolled
81.3/100
CMS Quality Rating
454 CARTERS CORNER RD, SUNBURY, OH 43074(614) 544-2832 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 7, 2024, Feb 7, 2024, Jan 25, 2022 and 1 more (4 updates tracked since 2018).

About Pamela Joan Mahaffey Dnp, Acns-bc, Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAMELA JOAN MAHAFFEY DNP, ACNS-BC, RN (NPI 1164836763) is an individual adult health provider in Sunbury, Ohio, licensed in Ohio (APRN.CNS.01795) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164836763
Entity TypeIndividualFemale
Primary Taxonomy364SA2200X
Provider Legal NamePAMELA JOAN MAHAFFEYCredential: DNP, ACNS-BC, RN
Location Address454 CARTERS CORNER RDSunbury, OH 43074-9536
Mailing Address454 Carters Corner RdSunbury, OH 43074-9536
Phone(614) 544-2832
Sole ProprietorNo
Enumeration DateJune 12, 2014
Last NPPES UpdateMay 7, 20244 updates tracked since enumeration
NPPES CertifiedMay 7, 2024
✔ NPI 1164836763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SA2200X
License✔ Licensed in OH · APRN.CNS.01795
454 CARTERS CORNER RD, Sunbury, OH 43074
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pamela Joan Mahaffey Dnp, Acns-bc, Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Pamela Mahaffey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ohiohealth Corporation
18 mi
Cardiovascular Disease
3705 OLENTANGY RIVER RD, SUITE 100
Columbus, OH 43214
  • Reassigned Medicare billing, Ohio enrollment
  • 3,314 clinicians in this Medicare group
NPI 1194979526 (614) 262-6772
Signify Health, LLC
925 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Ohio enrollment
  • 672 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43074 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pamela Mahaffey's NPI number?

The NPI number for Pamela Mahaffey is 1164836763. It was assigned to this individual provider in the NPPES registry on June 12, 2014.

Where is Pamela Mahaffey located?

Pamela Mahaffey practices at 454 Carters Corner Rd, Sunbury, OH 43074. The listed phone number is (614) 544-2832.

What is Pamela Mahaffey's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Adult Health, with taxonomy code 364SA2200X.

Is Pamela Mahaffey enrolled in Medicare?

Yes. Pamela Mahaffey is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Pamela Mahaffey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pamela Mahaffey reassigns Medicare benefits to 2 organizations: Ohiohealth Corporation (Columbus, OH) and Signify Health, LLC (Dallas, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pamela Mahaffey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pamela Mahaffey accept?

Health plans from CareSource and CareSource (Common Ground Healthcare) list Pamela Mahaffey as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pamela Mahaffey was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.