PAMELA BROCK (APRN) – Nurse Practitioner, NPI 1205235140
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,347 NURSE PRACTITIONER in KY
Provider Addresses for PAMELA BROCK (APRN)
1 Medical Village Dr
Edgewood, KY 410173403
Phone: (859) 212-4668
Type: Location
47 Cavalier Blvd
#120
Florence, KY 410423969
Phone: (859) 757-4353
Type: Location
651 CENTRE VIEW BLVD
CRESTVIEW HILLS, KY 410175423
Phone: (859) 301-9140
Fax: (859) 341-9141
Type: Location
PO BOX 635283
CINCINNATI, OH 452635283
Phone: (859) 301-9140
Fax: (859) 341-9141
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 56 Open Payments records for all available years, with a total value of $1,143.
Total Amount is formed as General ($1,143) + Research ($0) + Ownership ($0) = $1,143.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($301).
Total Amount
$1,143
General + Research + Ownership
Payments
56
Total payment records
General Amount
$1,143
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2016-06-17
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 |
|---|---|---|---|---|
| I20160617001249 | I | Nurse Practitioner | KY | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 247 | 155 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 41017)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KY | |
| Nephrology, Internal Medicine | KY | |
| Nephrology, Internal Medicine | KY | |
| Nephrology, Internal Medicine | OH |
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