MRS. PAMELA ANN VAN BEVERN PA-C, MPAS
NPI 1407970395
Physician Assistant - Medical in Belleville, IL

Active since March 18, 2007PECOS EnrolledAccepts Medicare Assignment
4700 MEMORIAL DR STE 210, BELLEVILLE, IL 62226(618) 235-0460(618) 235-1464 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 31, 2024, Mar 29, 2021 (2 updates tracked since 2021).

About Mrs. Pamela Ann Van Bevern Pa-c, Mpas NPPES

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

MRS. PAMELA ANN VAN BEVERN PA-C, MPAS (NPI 1407970395) is an individual medical provider in Belleville, Illinois, licensed in Illinois (85000407) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1407970395
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. PAMELA ANN VAN BEVERNCredential: PA-C, MPAS
Location Address4700 MEMORIAL DR STE 210Belleville, IL 62226-5373
Mailing Address4600 Memorial Dr, Ste. 160Belleville, IL 62226-5368 · (618) 235-0460 · Fax (618) 235-1464
Fax(618) 235-1464
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateMarch 18, 2007
Last NPPES UpdateSeptember 26, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2025
NPI 1407970395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in IL · 85000407 Licensed in IL · 0850000407
4700 MEMORIAL DR STE 210, Belleville, IL 62226

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Pamela Ann Van Bevern Pa-c, Mpas 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.

PECOS PAC ID6103902325
PECOS Enrollment IDI20080327000453
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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
168 services128 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
112 services97 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
81 services81 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
22 services22 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
20 services20 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
19 services19 patients

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
18 suppliers61 claims167 services$5.22 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
12 suppliers21 claims27 services$0.85 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
4700 MEMORIAL DR STE 210
BELLEVILLE, IL 62226
Physician Assistant
4700 MEMORIAL DR STE 210
BELLEVILLE, IL 62226
Family Medicine
4700 MEMORIAL DR STE 210
BELLEVILLE, IL 62226
Nurse Practitioner
4700 MEMORIAL DR STE 210
BELLEVILLE, IL 62226
Family Medicine
4700 MEMORIAL DR STE 210
BELLEVILLE, IL 62226
Nurse Practitioner
4700 MEMORIAL DR STE 210
BELLEVILLE, IL 62226
Physician Assistant
4700 MEMORIAL DR STE 210
BELLEVILLE, IL 62226
Physician Assistant
4700 MEMORIAL DR STE 210
BELLEVILLE, IL 62226

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 Van Bevern's NPI number?

The NPI number for Pamela Van Bevern is 1407970395. It was assigned to this individual provider in the NPPES registry on March 18, 2007.

Where is Pamela Van Bevern located?

Pamela Van Bevern practices at 4700 Memorial Dr Ste 210, Belleville, IL 62226. The listed phone number is (618) 235-0460.

What is Pamela Van Bevern's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Pamela Van Bevern enrolled in Medicare?

Yes. Pamela Van Bevern 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.

When was this NPI record last updated?

The NPPES record for Pamela Van Bevern was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.