Individual provider Active NPI

Kristi Nicole Panek, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Mission Viejo, CA
National Provider Identifier
1316373681
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AU2935
Practice address
26726 Crown Valley Pkwy
Suite 210
Mission Viejo, CA 92691-8002
Phone
(949) 364-4361
Fax
(949) 364-7124
NPI assigned
Sep 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X AU2935 Primary

Addresses

Primary practice location

26726 Crown Valley Pkwy
Suite 210
Mission Viejo, CA 92691-8002

Mailing address

26726 Crown Valley Pkwy
Suite 210
Mission Viejo, CA 92691-8002
Phone (949) 364-4361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150411000007 CA Practitioner - Qualified Audiologist 2567780190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orange County Physicians Hearing Services IncGroup PAC ID 5395771901, 9 clinicians

Practice addresses (Care Compare)

1640 Newport Blvd
Suite 350
Costa Mesa, CA 92627-3786
Phone (949) 276-4008

18 Endeavor
Suite 208
Irvine, CA 92618-3181
Phone (949) 276-4008

26726 Crown Valley Pkwy
Suite 210
Mission Viejo, CA 92691-8006
Phone (949) 276-4008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orange County Physicians Hearing Services Inc CurrentSince Feb 14, 2015 Accepting new patients

Locations

1640 Newport Blvd
Ste 350
Costa Mesa, CA 92627
Phone (949) 276-4008

18 Endeavor
Ste 208
Irvine, CA 92618
Phone (949) 276-4008

24411 Health Center Dr
Ste 370
Laguna Hills, CA 92653
Phone (949) 276-4008

26726 Crown Valley Pkwy
Mission Viejo, CA 92691
Phone (949) 276-4008

26726 Crown Valley Pkwy
Ste 210
Mission Viejo, CA 92691
Phone (949) 276-4008

675 Camino de los Mares
Ste 420
San Clemente, CA 92673
Phone (949) 276-4008

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kristi.panekaud.p21@direct.monarchhealthcare.nextgenshare.com
  • Direct secure messaging: kristi.panek.p19@direct.monarchhealthcare.nextgenshare.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379462400000",
    "number": "1316373681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26726 CROWN VALLEY PKWY",
            "address_2": "SUITE 210",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918002",
            "telephone_number": "949-364-4361",
            "fax_number": "949-364-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26726 CROWN VALLEY PKWY",
            "address_2": "SUITE 210",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918002",
            "telephone_number": "949-364-4361",
            "fax_number": "949-364-7124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANEK",
        "first_name": "KRISTI",
        "middle_name": "NICOLE",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-18",
        "last_updated": "2013-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": "AU2935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.