PAMELA DIANE BRANTLEY NP
NPI 1467123448
Nurse Practitioner - Family in Calumet City, IL

Q: What is Pamela Brantley's NPI number?

The NPI number for Pamela Brantley is 1467123448. It was assigned to this individual provider in the NPPES registry on September 21, 2021.

Q: What is Pamela Brantley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Pamela Brantley was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 21, 2021PECOS Enrolled

1473 RING RD, CALUMET CITY, IL 60409(708) 862-8156 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 20, 2026, Sep 21, 2021 (2 updates tracked since 2021).

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About Pamela Diane Brantley Np NPPES

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

PAMELA DIANE BRANTLEY NP (NPI 1467123448) is an individual family provider in Calumet City, Illinois, licensed in Illinois (209023922) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1467123448

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NamePAMELA DIANE BRANTLEYCredential: NP

Location Address1473 RING RDCalumet City, IL 60409-5459

Mailing Address1473 Ring RdCalumet City, IL 60409-5459 · (847) 845-6030

Phone(708) 862-8156

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateSeptember 21, 2021

Last NPPES UpdateMay 20, 20262 updates tracked since enumeration

NPPES CertifiedMay 20, 2026

✔ NPI 1467123448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209023922

1473 RING RD, Calumet City, IL 60409

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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 Diane Brantley Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789155565

PECOS Enrollment IDI20260602003402

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 60409 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

Other Providers at the Same Location NPPES 9

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

MS. LACONYER DAVIS MACC, LPC, NCC, CADC

Counselor (Professional)

1473 RING RD, GREAT HEIGHTS FAMILY MEDICINE
CALUMET CITY, IL 60409

Cook County (312) 885-2195

THERESA IBEABUCHI NURSE PRACTITIONER

Family Medicine