Individual provider Active NPI

Stacie Panek, NP

  • Nurse Practitioner
  • Wilmington, NC
National Provider Identifier
1306368378
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5019759 Issued in NC
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

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address spanek134654@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180207000955 PA Practitioner - Nurse Practitioner 6608136940 Reassigns benefits to 1 organization
I20240618001159 NC Practitioner - Nurse Practitioner 6608136940 Reassigns benefits to 1 organization

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
Wilmington Health PLLCGroup PAC ID 6103722509, 364 clinicians

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 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5019759NCMDNurse Practitioner
SP017597PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wha Medical Clinic PLLC Current Accepting new patients
Allegheny Clinic CurrentSince Feb 1, 2020 Accepting new patients
Wilmington ASC LLC CurrentSince Jul 16, 2024 Accepting new patients
Allegheny Clinic CurrentSince Feb 1, 2020 Accepting new patients
Wilmington Health PLLC CurrentSince Jul 16, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.