Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Imelda Altji Pangemanan, GNP-BC

Individual provider Gerontology Nurse Practitioner · NPI 1366722308

Imelda Altji Pangemanan, GNP-BC is a Nurse Practitioner in Houston, Texas. Qualified in 2011, 15 years ago. Practices with Physicians Referral Service, a 2,727-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
15
Licensed in
TX
In the registry since
2011
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1515 Holcombe Blvd
Houston, TX 77030-4000
Phone: (713) 792-6161
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence AP120706 (TX)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 721130 (TX)

Record details

NPI number1366722308
Entity typeIndividual (Type 1)
GenderFemale
Credentials GNP-BC
Sole proprietorNo
NPI enumeratedAugust 23, 2011
Last updated in NPPESDecember 14, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Physicians Referral Service — 2727 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Houston