PAMUDZI 360 HEALTH
NPI 1881411023
Nurse Practitioner - Family in Palos Hills, IL
About Pamudzi 360 Health NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAMUDZI 360 HEALTH (NPI 1881411023) is a healthcare organization registered as a family in Palos Hills, Illinois and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through March 19, 2027 and lists Molly K Netter, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pamudzi 360 Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Pamudzi 360 Health, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 14D2320557
Pamudzi 360 Health · Palos Hills, ILFrequently 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 Pamudzi 360 Health's NPI number?
The NPI number for Pamudzi 360 Health is 1881411023. It was assigned to this organization in the NPPES registry on September 20, 2024.
Where is Pamudzi 360 Health located?
Pamudzi 360 Health is located at 10419 S Roberts Rd, Palos Hills, IL 60465. The listed phone number is (708) 581-5151.
What is Pamudzi 360 Health's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Pamudzi 360 Health enrolled in Medicare?
Yes. Pamudzi 360 Health is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pamudzi 360 Health?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Pamudzi 360 Health. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Pamudzi 360 Health hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2320557) is associated with this NPI, valid through March 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Pamudzi 360 Health was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Pamudzi 360 Health · NPI 1881411023
Family organization in Palos Hills, Illinois. Organization record, active in the CMS NPPES registry since September 20, 2024.
## Identity
- **NPI:** 1881411023 (Entity type: Organization)
- **Enumerated:** September 20, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Molly Netter, OWNER
## Practice location
- **Address:** 10419 S ROBERTS RD, Palos Hills, IL 60465-1931
- **Phone:** (708) 581-5151
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 20, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1881411023) · Data from the CMS NPPES public registry.