Individual provider Active NPI

Annabelle Lee Pannell, NPC

  • Nurse Practitioner
  • Clintwood, VA
National Provider Identifier
1316246242
Registry record updated Mar 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024169281 Issued in VA
Practice address
5607 Dickenson Hwy
Clintwood, VA 24228-7009
Phone
(276) 926-4601
NPI assigned
Mar 17, 2011
Last updated
Mar 17, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024169281 VA Primary

Addresses

Primary practice location

5607 Dickenson Hwy
Clintwood, VA 24228-7009

Mailing address

5607 Dickenson Hwy
Clintwood, VA 24228-7009
Phone (276) 926-4601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20110614000027 VA Practitioner - Nurse Practitioner 1456538784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

245 Holston Rd
Suite B
Wytheville, VA 24382-4486
Phone (276) 227-0460

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wythe County Physician Practices LLC Nurse Practitioner CurrentSince Jun 1, 2017 Accepting new patients
Wythe County Physician Practices LLC Past Accepting new patients
Wythe County Physician Practices LLC Past Accepting new patients

Locations

791 Fort Chiswell Rd
Ste A
Max Meadows, VA 24360
Phone (267) 637-6641

1155 N 4th St
Ste 502
Wytheville, VA 24382
Phone (276) 228-5069

245 Holston Rd
Ste B
Wytheville, VA 24382
Phone (276) 227-0460

590 W Ridge Rd
Ste A
Wytheville, VA 24382
Phone (276) 228-3355

600 W Ridge Rd
Wytheville, VA 24382
Phone (276) 228-0200

Interoperability endpoints

  • Direct secure messaging: annabelle.pannell.1@19847.direct.athenahealth.com

Organizations & group practices 3

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.

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": "1300320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300320000000",
    "number": "1316246242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5607 DICKENSON HWY",
            "city": "CLINTWOOD",
            "state": "VA",
            "postal_code": "242287009",
            "telephone_number": "276-926-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5607 DICKENSON HWY",
            "city": "CLINTWOOD",
            "state": "VA",
            "postal_code": "242287009",
            "telephone_number": "276-926-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANNELL",
        "first_name": "ANNABELLE",
        "middle_name": "LEE",
        "credential": "NPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-17",
        "last_updated": "2011-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024169281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clintwood, VA

Sources for this page

Verify at the official NPI Registry.