PAMELA A DEANDREA (APN) – Acute Care Nurse Practitioner, NPI 1114177045

PAMELA A DEANDREA (APN) is a healthcare provider. based in Hackensack, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 26NJ00168700 (NJ). The NPI Number for PAMELA A DEANDREA (APN) is 1114177045

Main info

Female
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
PAMELA A DEANDREA (APN)
NPI
1114177045
Phone
(201) 996-4614
Address
30 PROSPECT AVE
Enumeration Date
29 September 2008
Last Update Date
30 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6098901050
Graduation Year
2008 (18 years ago)
PAC ID
7113080904
Group Practice PAC ID
6002132685
Professional Enrollment ID
I20090105000435
Address ID
NJ070023846BA631XXBROA203
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:17State licenses:1Digital endpointsOther names

7,515 NURSE PRACTITIONER in NJ

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Provider Addresses for PAMELA A DEANDREA (APN)

  • Hackensack University Medical Center, 30, Prospect Avenue, Hackensack, Bergen County, New Jersey, 07601, United States

    ETD

    HACKENSACK, NJ 076011914

    Phone: (201) 996-4614

    Type: Mailing

  • PO BOX 830826

    PHILADELPHIA, PA 191820826

    Phone: (609) 890-1050

    Fax: (609) 890-0950

    Type: Mailing

  • 177 MAIN ST

    MATAWAN, NJ 077474107

    Phone: (609) 890-1050

    Fax: (609) 890-0950

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 57 Open Payments records for all available years, with a total value of $1,387.

Total Amount is formed as General ($1,387) + Research ($0) + Ownership ($0) = $1,387.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($699).

Total Amount

$1,387

General + Research + Ownership

Payments

57

Total payment records

General Amount

$1,387

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

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: 2009-01-05

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
I20090105000435INurse PractitionerNJTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07601)

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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: 6002132685View full group profile
NameSpecialtyState
Nurse PractitionerNJ
Internal MedicineNJ
Hospitalist, Internal MedicineNJ
Clinical PsychologistNY
Nurse PractitionerNJ
Nurse PractitionerNJ
Psychiatry, Sleep MedicineNJ
P S Y C H I A T R YNJ
Nurse PractitionerNJ
Nurse PractitionerNJ

Reviews

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Frequently asked questions

Is PAMELA A DEANDREA (APN) listed with a National Provider Identifier?
Yes — PAMELA A DEANDREA (APN) has NPI 1114177045 on file in the registry.
Is PAMELA A DEANDREA (APN) still an active registrant?
PAMELA A DEANDREA (APN) carries an active NPI according to the public dataset.
What kind of doctor is PAMELA A DEANDREA (APN)?
PAMELA A DEANDREA (APN) is associated with Acute Care Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for PAMELA A DEANDREA (APN)?
Travel planning: use Hackensack, New Jersey as the reference point for PAMELA A DEANDREA (APN), then confirm.
Can I trust this NPI listing for PAMELA A DEANDREA (APN)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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