PAMELA BARTLEY – Physician Assistant, NPI 1063886505

PAMELA BARTLEY is a healthcare provider. based in Portage, Michigan. specializing in PHYSICIAN ASSISTANT. They hold a License No. 5601007475 (MI). The NPI Number for PAMELA BARTLEY is 1063886505

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
PAMELA BARTLEY
NPI
1063886505
Phone
(269) 324-8600
Address
7901 ANGLING RD
Enumeration Date
20 November 2015
Last Update Date
20 November 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2015 (11 years ago)
PAC ID
9739482175
Group Practice PAC ID
1658427042
Professional Enrollment ID
I20160119002581
Address ID
MI491202203NI42XXXAVEX500
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for PAMELA BARTLEY

  • 7901 ANGLING RD

    PORTAGE, MI 490240714

    Phone: (269) 324-8600

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $127.

Total Amount is formed as General ($127) + Research ($0) + Ownership ($0) = $127.

Last reported payment date: 2024-10-09 • Largest payer in this snapshot: Boston Scientific Corporation ($80).

Total Amount

$127

General + Research + Ownership

Payments

5

Total payment records

General Amount

$127

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2016-01-19

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160119002581IPhysician AssistantMITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes361294$0
99213Established patient office or other outpatient visit, 20-29 minutes249236$0
99215Established patient office or other outpatient visit, 40-54 minutes4343$0
99204New patient office or other outpatient visit, 45-59 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 49024)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658427042View full group profile
NameSpecialtyState
-MI
Nurse PractitionerMI
Nurse PractitionerMI
-MI
-MI
-MI
Physician AssistantMI
Internal MedicineMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

Is PAMELA BARTLEY listed with a National Provider Identifier?
Yes — PAMELA BARTLEY has NPI 1063886505 on file in the registry.
Is there an active status for PAMELA BARTLEY?
For scheduling context, PAMELA BARTLEY is shown as active in the registry.
How would a patient describe PAMELA BARTLEY's focus?
For PAMELA BARTLEY, the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
Is PAMELA BARTLEY associated with Portage?
Public fields place PAMELA BARTLEY around Portage, Michigan. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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