PAMELA JEAN BLAKEMORE-RAY (FNP) – Family Medicine Physician, NPI 1578090536

PAMELA JEAN BLAKEMORE-RAY (FNP) is a healthcare provider. based in Paw paw, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 4704265284 (MI). The NPI Number for PAMELA JEAN BLAKEMORE-RAY (FNP) is 1578090536

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
PAMELA JEAN BLAKEMORE-RAY (FNP)
NPI
1578090536
Phone
(269) 655-0761
Address
451 HEALTH PKWY STE F
Enumeration Date
20 May 2017
Last Update Date
28 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2695443270
Graduation Year
2017 (9 years ago)
PAC ID
0143590125
Group Practice PAC ID
0244148633
Professional Enrollment ID
I20170725000343
Address ID
MI490091952KA5629XBXXX400
Telehealth
Yes

Contacts

Secure Messaging
direct@direct.bronsonhg.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:9State licenses:1Other namesUpdated within 12 months

8,105 NURSE PRACTITIONER in MI

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Provider Addresses for PAMELA JEAN BLAKEMORE-RAY (FNP)

  • 451, Health Parkway, Paw Paw, Paw Paw Township, Van Buren County, Michigan, 49079, United States

    PAW PAW, MI 490798242

    Phone: (269) 655-0761

    Type: Location

  • 451 Health Pkwy Ste F

    Paw Paw, MI 490798242

    Phone: (269) 655-0761

    Type: Location

  • 6220 W Main St

    Kalamazoo, MI 490098925

    Phone: (269) 276-4744

    Type: Location

  • 601 JOHN STREET

    BOX 39

    KALAMAZOO, MI 490078242

    Phone:

    Type: Mailing

  • 5623 GULL RD STE 500

    KALAMAZOO, MI 490481098

    Phone: (269) 775-8031

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $29.

Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.

Last reported payment date: 2023-10-30 • Largest payer in this snapshot: Boston Scientific Corporation ($29).

Total Amount

$29

General + Research + Ownership

Payments

1

Total payment records

General Amount

$29

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-30

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: 2017-07-25

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170725000343INurse PractitionerMITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes195188$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)1515$0
View full utilization report →

Insurance plans in this area (ZIP 49079)

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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: 0244148633View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMI
Hand Surgery, Orthopedic SurgeryMI
Physician AssistantMI
Physician AssistantMI
Cardiovascular Disease (Cardiology), Internal MedicineMI
Family PracticeMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Endocrinology, Internal MedicineMI
Clinical Social WorkerMI
Internal MedicineMI

Reviews

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Frequently asked questions

How is PAMELA JEAN BLAKEMORE-RAY (FNP) identified in CMS data?
CMS-hosted NPPES data lists PAMELA JEAN BLAKEMORE-RAY (FNP) with NPI 1578090536.
Is PAMELA JEAN BLAKEMORE-RAY (FNP) still practicing?
PAMELA JEAN BLAKEMORE-RAY (FNP) is currently listed as active in the public NPI registry.
What is PAMELA JEAN BLAKEMORE-RAY (FNP)'s specialty?
The listing groups PAMELA JEAN BLAKEMORE-RAY (FNP) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for PAMELA JEAN BLAKEMORE-RAY (FNP)?
PAMELA JEAN BLAKEMORE-RAY (FNP)'s geographic hint is Paw Paw, Michigan in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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