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PAMELA NICOLE MARTIN LINE APRN
NPI 1275371577
Nurse Practitioner - Psychiatric/Mental Health in Prospect, CT

Active since July 19, 2024PECOS Enrolled
104 WATERBURY RD UNIT B, PROSPECT, CT 06712(860) 479-1586 Get Directions Write a Review

NPPES record last updated: December 26, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Dec 26, 2024, Nov 7, 2024, Aug 5, 2024 and 1 more (4 updates tracked since 2024).

About Pamela Nicole Martin Line Aprn NPPES

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

PAMELA NICOLE MARTIN LINE APRN (NPI 1275371577) is an individual psychiatric/mental health provider in Prospect, Connecticut, licensed in Connecticut (13536) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Middletown.

NPPES Registry Identity

NPI1275371577
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NamePAMELA NICOLE MARTIN LINECredential: APRN
Location Address104 WATERBURY RD UNIT BProspect, CT 06712-1253
Mailing Address104 Waterbury Rd Unit BProspect, CT 06712-1253 · (860) 479-1586 · Fax (949) 695-2229
Phone(860) 479-1586
Sole ProprietorNo
Enumeration DateJuly 19, 2024
Last NPPES UpdateDecember 26, 20244 updates tracked since enumeration
NPPES CertifiedDecember 26, 2024
✔ NPI 1275371577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CT · 13536
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 152185 (CT)
104 WATERBURY RD UNIT B, Prospect, CT 06712
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Secondary Practice Location 1

Location 16 Forest Glen Cir Apt 16Middletown, CT 06457-6649 · Phone (860) 805-9789

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pamela Nicole Martin Line Aprn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06712 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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 Line's NPI number?

The NPI number for Pamela Line is 1275371577. It was assigned to this individual provider in the NPPES registry on July 19, 2024.

Where is Pamela Line located?

Pamela Line practices at 104 Waterbury Rd Unit B, Prospect, CT 06712. The listed phone number is (860) 479-1586.

What is Pamela Line's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Pamela Line enrolled in Medicare?

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

What insurance does Pamela Line accept?

Health plans from Providence Health Plan list Pamela Line 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 Line was last updated on December 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.