Active NPI
Stacie Panek, NP
- Nurse Practitioner
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5019759
- Practice address
- Wilmington Health Cardiology
1202 Medical Center Dr
Wilmington, NC 28401 - Phone
- (910) 341-1527
- Fax
- (910) 763-3980
- NPI assigned
- Jul 12, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP017597 | PA | |
| Nurse Practitioner | 363L00000X | 5019759 | NC | Primary |
Addresses
Primary practice location
Wilmington Health Cardiology
1202 Medical Center Dr
Wilmington, NC 28401
Mailing address
1202 Medical Center Dr
Wilmington, NC 28401
Phone (910) 341-1527
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | spanek134654@direct.ahn.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1202 Medical Ctr Dr
Wilmington, NC 28401-7307
Phone (910) 341-1540
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.9 of 100
- Quality
- 85.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5019759 | NC | MD | Nurse Practitioner |
| SP017597 | PA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wha Medical Clinic PLLC | Current | Accepting new patients | |
| Allegheny Clinic | Current | Accepting new patients | |
| Wilmington ASC LLC | Current | Accepting new patients | |
| Allegheny Clinic | Current | Accepting new patients | |
| Wilmington Health PLLC | Current | Accepting new patients | |
| Allegheny Clinic | Current | Accepting new patients | |
| Allegheny Clinic | Past | Accepting new patients |
Locations
1202 Medical Center Dr
Wilmington, NC 28401
Phone (910) 617-6705
100 Medical Blvd
Canonsburg, PA 15317
Phone (412) 359-4138
575 Coal Valley Rd
Ste 574
Jefferson Hls, PA 15025
Phone (412) 267-6253
575 Coal Valley Rd
Ste 570
Jefferson Hls, PA 15025
Phone (412) 267-6270
701 Broad St
Ste 431
Sewickley, PA 15143
Phone (412) 741-0966
Interoperability endpoints
- stacie.panek.p1@direct.wilmingtonhealth.nextgenshare.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Wilmington, NC
- NPI 1881632339
-
- Family Medicine Physician
- Bethel Park, PA
- NPI 1073081493
-
- Endoscopy Clinic/Center
- Wilmington, NC
- NPI 1083889091
-
- Ambulatory Surgical Clinic/Center
- Wilmington, NC
- NPI 1548456478
-
- Primary Care Clinic/Center
- Pittsburgh, PA
- NPI 1215752548
-
- Clinical Cardiac Electrophysiology Physician
- Pittsburgh, PA
- NPI 1750381471
-
- Neurology Physician
- Pittsburgh, PA
- NPI 1821098260
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wilmington, NC
- NPI 1376139139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736294400000",
"number": "1306368378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 MEDICAL CENTER DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "28401",
"telephone_number": "910-341-1527",
"fax_number": "910-763-3980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WILMINGTON HEALTH CARDIOLOGY",
"address_2": "1202 MEDICAL CENTER DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "28401",
"telephone_number": "910-341-1527",
"fax_number": "910-763-3980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANEK",
"first_name": "STACIE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-12",
"last_updated": "2025-01-08",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP017597",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5019759",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "spanek134654@direct.ahn.org",
"affiliation": "N",
"address_1": "575 Coal Valley Rd Ste 570",
"city": "Jefferson Hills",
"state": "PA",
"country_code": "US",
"postal_code": "150253729",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.