PAMELA MARIE WERTHEIM APRN
NPI 1205367117
Nurse Practitioner - Family in Old Saybrook, CT
About Pamela Marie Wertheim Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAMELA MARIE WERTHEIM APRN (NPI 1205367117) is an individual family provider in Old Saybrook, Connecticut, licensed in Connecticut (006818) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Pamela Marie Wertheim Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Pamela Wertheim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Old Saybrook, CT 06475
- Reassigned Medicare billing, Connecticut enrollment
- Also billed through NPI 1104043017 (Connecticut)
- 32 clinicians in this Medicare group
Avon, CT 06001
- Reassigned Medicare billing, Connecticut enrollment
- 182 clinicians in this Medicare group
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 06475 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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 Wertheim's NPI number?
The NPI number for Pamela Wertheim is 1205367117. It was assigned to this individual provider in the NPPES registry on March 22, 2017.
Where is Pamela Wertheim located?
Pamela Wertheim practices at 120 Sea Ln, Old Saybrook, CT 06475. The listed phone number is (860) 463-5615.
What is Pamela Wertheim's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Pamela Wertheim enrolled in Medicare?
Yes. Pamela Wertheim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Pamela Wertheim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pamela Wertheim reassigns Medicare benefits to 2 organizations: Mhs Primary Care Inc (Old Saybrook, CT) and Hartford Healthcare Urgent Care Centers, LLC (Avon, CT). 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 Wertheim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Pamela Wertheim accept?
Health plans from Anthem Blue Cross and Blue Shield list Pamela Wertheim 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 Wertheim was last updated on March 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Pamela Marie Wertheim, APRN · NPI 1205367117
Family physician in Old Saybrook, Connecticut. Individual provider, active in the CMS NPPES registry since March 22, 2017.
## Identity
- **NPI:** 1205367117 (Entity type: Individual)
- **Enumerated:** March 22, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 006818 (Connecticut)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 120 SEA LN, Old Saybrook, CT 06475-1954
- **Phone:** (860) 463-5615
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mhs Primary Care Inc (NPI 1093138935, Old Saybrook, CT); Hartford Healthcare Urgent Care Centers, LLC (NPI 1093239683, Avon, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** March 22, 2017
---
Source: [NPI Profile](https://npiprofile.com/npi/1205367117) · Data from the CMS NPPES public registry.