PAMELA D LOUDERBACK (ARNP) – Wound Care Registered Nurse, NPI 1104932896
Wound Care Registered Nurse
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
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Provider Addresses for PAMELA D LOUDERBACK (ARNP)
Kelly Service, 5220, Belfort Road, Jacksonville, Duval County, Florida, 32256, United States
SUITE 130
JACKSONVILLE, FL 322566017
Phone: (904) 446-3701
Fax: (888) 507-9833
Type: Mailing
700, 6th Street South, Roser Park, Saint Petersburg, Pinellas County, Florida, 33701, United States
ST. PETERSBURG, FL 337014814
Phone: (904) 446-3701
Fax: (888) 507-9833
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $173.
Total Amount is formed as General ($173) + Research ($0) + Ownership ($0) = $173.
Last reported payment date: 2024-09-23 • Largest payer in this snapshot: Smith+Nephew, Inc. ($63).
Total Amount
$173
General + Research + Ownership
Payments
7
Total payment records
General Amount
$173
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $63 |
| Innovation Technologies Inc | $50 |
| Integra LifeSciences Corporation | $24 |
| Hydrofera LLC | $20 |
| Inari Medical, Inc. | $15 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-08-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040825001012 | I | Nurse Practitioner | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 704 | 154 | $0 |
| 11045 | Removal of skin and tissue, each additional 20.0 sq cm or less | 661 | 49 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 230 | 102 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 153 | 79 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 109 | 58 | $0 |
Insurance plans in this area (ZIP 32256)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | FL | |
| Family Practice, Osteopathic Manipulative Medicine | FL | |
| Internal Medicine, Infectious Disease | FL | |
| Family Practice, Osteopathic Manipulative Medicine | FL | |
| Undersea And Hyperbaric Medicine, Family Practice | FL | |
| Family Practice | FL | |
| Critical Care (Intensivists), Critical Care (Intensivists), Internal Medicine | GA |
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