PAMELA VANDERMARK NP
NPI 1740557610
Nurse Practitioner - Gerontology in Shelbyville, IN

Q: What is Pamela Vandermark's NPI number?

The NPI number for Pamela Vandermark is 1740557610. It was assigned to this individual provider in the NPPES registry on November 21, 2011.

Q: What is Pamela Vandermark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Pamela Vandermark was last updated on September 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since November 21, 2011PECOS EnrolledAccepts Medicare Assignment

2451 INTELLIPLEX DR STE 260, SHELBYVILLE, IN 46176(317) 398-0121(317) 398-0538 Get Directions Write a Review

NPPES record last updated: September 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 10, 2020, Oct 17, 2018, Aug 2, 2018 (3 updates tracked since 2018).

On this page

About Pamela Vandermark Np NPPES

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

PAMELA VANDERMARK NP (NPI 1740557610) is an individual gerontology provider in Shelbyville, Indiana, licensed in Indiana (71003764A) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS, is affiliated with Major Hospital, and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1740557610

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NamePAMELA VANDERMARKCredential: NP

Location Address2451 INTELLIPLEX DR STE 260Shelbyville, IN 46176-8580

Mailing Address30 W Rampart St Ste 200Shelbyville, IN 46176-8846 · (317) 398-0121 · Fax (317) 398-0538

Phone(317) 398-0121

Fax(317) 398-0538

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateNovember 21, 2011

Last NPPES UpdateSeptember 10, 20203 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2020

✔ NPI 1740557610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LG0600X

License✔ Licensed in IN · 71003764A

Also ListedRegistered NurseTaxonomy 163W00000X · License 28154814A (IN)

2451 INTELLIPLEX DR STE 260, Shelbyville, IN 46176

Open in Google Maps ↗

Secondary Practice Location 1

Location 13834 S Emerson Ave, Building C, Suite 100Indianapolis, IN 46203 · Phone (317) 782-1577 · Fax (317) 780-5538

Other Identifiers 1

Medicaid201042790IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Pamela Vandermark Np 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 ID42485732

PECOS Enrollment IDI20111207000834

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Major Hospital

Acute Care Hospitals · Shelbyville, IN

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number150097

Location2451 Intelliplex DrShelbyville, IN 46176 · Shelby County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46176 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

Referred Medical Equipment & Supplies CMS DME claims 9

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

4 suppliers30 claims30 services$46.15 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier16 claims16 services$12.54 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers38 claims38 services$72.03 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier15 claims15 services$32.36 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

3 suppliers18 claims18 services$18.70 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

2 suppliers18 claims18 services$20.96 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 20

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

TAMARA REED FNP

Nurse Practitioner (Family)