Individual provider Active NPI

Artemis Diane Panagopoulos, PA-C

  • Medical Physician Assistant
  • Nantucket, MA
National Provider Identifier
1164801486
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA5238 Issued in MA
Practice address
57 Prospect St Unit 1
Nantucket, MA 02554-4396
Phone
(508) 825-8100
NPI assigned
May 19, 2015
Last updated
Jun 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA5238 MA Primary

Addresses

Primary practice location

57 Prospect St Unit 1
Nantucket, MA 02554-4396

Mailing address

57 Prospect St Dept FLR 1
Nantucket, MA 02554-2799
Phone (508) 825-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161130000941 MA Practitioner - Physician Assistant 6800176280 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atrius Health IncGroup PAC ID 4789588641, 1,214 clinicians

Practice addresses (Care Compare)

100 2ND Ave
Needham, MA 02494-2809
Phone (781) 726-4800

133 Brookline Ave
Boston, MA 02215-3904
Phone (617) 421-1000

20 Wall St
Burlington, MA 01803-4758
Phone (781) 221-2500

228 Billerica Rd
Chelmsford, MA 01824-3604
Phone (978) 250-6000

40 Holland St
Somerville, MA 02144-2705
Phone (617) 629-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Atrius Health, Inc. CurrentSince Sep 25, 2023 Accepting new patients
Atrius Health, Inc. CurrentSince Sep 25, 2023 Accepting new patients
Nantucket Cottage Hospital Current Accepting new patients
Mass General Brigham Urgent Care LLC CurrentSince May 28, 2017 Accepting new patients
Mass General Brigham Urgent Care LLC CurrentSince May 28, 2017 Accepting new patients
Commonwealth Care Alliance, Inc. Past Accepting new patients
Ack Medical Transportation PastSince Jun 25, 2023 Accepting new patients
Orthoconnecticut, PLLC PastSince Jun 25, 2023 Accepting new patients

Locations

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051

1285 Beacon St
Brookline, MA 02446
Phone (617) 751-6205

57 Prospect St
Nantucket, MA 02554
Phone (508) 228-1200

57 Prospect St
Unit 1
Nantucket, MA 02554
Phone (508) 825-1000

Interoperability endpoints

  • Direct secure messaging: apanagopoulospa374794@direct.atrius.masshiway.net

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1164801486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 PROSPECT ST DEPT FLR 1",
            "city": "NANTUCKET",
            "state": "MA",
            "postal_code": "025542799",
            "telephone_number": "508-825-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 PROSPECT ST UNIT 1",
            "city": "NANTUCKET",
            "state": "MA",
            "postal_code": "025544396",
            "telephone_number": "508-825-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANAGOPOULOS",
        "first_name": "ARTEMIS",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-19",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "PA5238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nantucket, MA

Sources for this page

Verify at the official NPI Registry.