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Deactivated NPI 1215276993 Deactivated / Inactive NPI Female Practitioner

Alyssa Marie Pamenter , APRN

Nurse Practitioner • Melbourne, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Alyssa Pamenter has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 31, 2013
NPI Deactivation Date May 25, 2021
Total Practice Duration ~8 Years of Practice (2013 – 2021)

Professional Overview & Biography Verified Profile Summary

Alyssa Pamenter, APRN was a registered Nurse Practitioner practicing in Melbourne, FL. Throughout an active medical career spanning 8 years, Alyssa Pamenter provided care at the practice location at 2338 CITADEL WAY STE 105 until profile deactivation on 2021-05-25.

Historical Medicare Part B clinical services included hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg, aspiration and/or injection of fluid from large joint, fluoroscopic guidance for needle placement. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2338 Citadel Way Ste 105

Melbourne, FL 329406184

Telephone 3212929063
Associated Practice Facility / Clinic
🏢 Teak Haven Company, Llc Facility NPI 1700712445

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Melbourne, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.2 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
131 Specialists

Practicing in Melbourne, FL (8990 Statewide)

Telehealth Adoption Rate
16.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
21.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J7320 Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg
3,300 19 $17.72 $7.48
20610 Aspiration and/or injection of fluid from large joint
141 22 $69.08 $54.52
77002 Fluoroscopic guidance for needle placement
141 22 $109.62 $94.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
24 24 $182.74 $140.06

Medical Specialties & State Licenses

CMS Verified: 2021-10-03
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL 1215276993

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License WI 181289

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
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Updated Practice Location October 20, 2021

Registered at 2338 CITADEL WAY STE 105, MELBOURNE, FL 329406184 (Tel: 3212929063)

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Updated Business Mailing Address October 20, 2021

Registered at 2338 CITADEL WAY STE 105, MELBOURNE, FL 329406184 (Tel: 3212929063)

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2021

Registered Nurse (License #181289 in WI)

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Updated Practice Location August 30, 2021

Registered at 1541 REPUBLIC ST SE APT 2, PALM BAY, FL 329095428 (Tel: 3212929063)

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Updated Business Mailing Address August 30, 2021

Registered at 1541 REPUBLIC ST SE APT 2, PALM BAY, FL 329095428 (Tel: 3212929063)

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Provider Name / Credentials Updated August 30, 2021

Recorded as ALYSSA PAMENTER, APRN

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2021

Nurse Practitioner (License #1215276993 in FL)

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NPI Profile Deactivated May 25, 2021

Record deactivated on May 25, 2021

NPI Profile Active January 31, 2013

NPI status registered as active in NPPES database

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Updated Practice Location January 31, 2013

Registered at 520 HAMILTON ST, APT 2, WAUSAU, WI 544033587 (Tel: 7153707373)

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Updated Business Mailing Address January 31, 2013

Registered at 520 HAMILTON ST, APT 2, WAUSAU, WI 544033587 (Tel: 7153707373)

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Provider Name / Credentials Updated January 31, 2013

Recorded as ALYSSA STAHEL, R.N.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 31, 2013

Registered Nurse (License #181289 in WI)

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Initial NPI Registration & Enumeration January 31, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215276993
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 31, 2013
Last Update: October 20, 2021
Deactivation Date: May 25, 2021
Sole Proprietor: Yes

Mailing Address

2338 Citadel Way Ste 105

Melbourne, FL 329406184

Phone: 3212929063

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.