Agnes Blanche Delaney, PA
Individual provider Active NPI Physician Assistant · Greenville, NC
NPI 1366445975 · NPPES record last updated Jan 13, 2022
Key facts
- NPI
- 1366445975
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 001009744 (NC)
- Practice address
- 850 WH Smith Blvd
Greenville, NC 27834-3763 - Phone
- (252) 758-3211
- NPI assigned
- May 27, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 28
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- MCPC-18, LLC
MCPC-5 LLC
Vidant Medical Group LLC
Scotland Memorial Hospital, Inc
Practice addresses (Care Compare)
155 Memorial Dr
Pinehurst, NC 28374-8710
Phone (910) 715-1000
205 Page Rd
Pinehurst, NC 28374-8749
Phone (910) 295-9211
401 A N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941
401 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941
417 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-8080
500 Lauchwood Dr
Laurinburg, NC 28352-5501
Phone (843) 479-9033
606 E 12TH St
Washington, NC 27889-3409
Phone (252) 974-9460
608 E 12TH St
Vidant Multispecialty Clinic Washiington
Washington, NC 27889-3409
Phone (252) 974-7500
628 E 12TH St
Vidant Beaufort Hospitalists
Washington, NC 27889-3409
Phone (252) 975-4178
6322 Fayetteville Rd
Suite B
Raeford, NC 28376-7979
Phone (910) 878-5100
7 Regional Cir
Pinehurst, NC 28374-9796
Phone (910) 715-8600
Hospital & facility affiliations
- Firsthealth Moore Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.95 of 100
- Quality
- 82.44
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.95 of 100
- Quality
- 65.05
- Promoting interoperability
- 78
- Improvement activities
- 40
- Cost
- 87.57
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL, NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040910001220 | IL | Practitioner - Physician Assistant | 2264409192 | Reassigns benefits to 1 organization |
| I20200410000751 | NC | Practitioner - Physician Assistant | 2264409192 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085002145 | IL | MD | Physician Assistant |
| 001009744 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FHPG, LLC | Current |
Accepting new patients | |
| Scotland Memorial Hospital Inc | Current |
Accepting new patients | |
| FHPG, LLC | Current |
Accepting new patients | |
| MCPC-5, LLC | Cardiovascular Disease | Current |
Accepting new patients |
| Southern Illinois Medical Services, NFP | Current |
Accepting new patients | |
| Vidant Medical Group LLC | Current |
Accepting new patients | |
| MCPC-5, LLC | Cardiovascular Disease | Current |
Accepting new patients |
| Scotland Memorial Hospital Inc | Current |
Accepting new patients | |
| Memorial Management Inc | Past | Accepting new patients | |
| Prairie Cardiovascular Consultants LTD | Cardiovascular Disease | Past | Accepting new patients |
| Memorial Management Inc | Past | Accepting new patients | |
| FHPG, LLC | Past | Accepting new patients | |
| Marion Emergency Physicians, LLC | Past | Accepting new patients | |
| Unc Physicians Netwrok, LLC | Cardiovascular Disease | Past | Accepting new patients |
Locations
517 N Main St
Anna, IL 62906
Phone (618) 833-2295
2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300
409 W Oak St
Carbondale, IL 62901
Phone (618) 536-2565
2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229
850 Wh Smith Blvd
Greenville, NC 27834
Phone (252) 758-3211
108 Endo Ln
Ste 1
Hamlet, NC 28345
Phone (910) 205-8909
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227
155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000
205 Page Rd
Pinehurst, NC 28374
Phone (910) 295-9211
6322 Fayetteville Rd
Ste B
Raeford, NC 28376
Phone (910) 878-5100
Interoperability endpoints
- adelaney298568@direct.vidanthealth.com
- adelaney109378@firsthealth.direct-ci.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085002145 | IL | |
| Physician Assistant | 363A00000X | 001009744 | NC | Yes |
Addresses
Primary practice location
850 WH Smith Blvd
Greenville, NC 27834-3763
Mailing address
850 WH Smith Blvd
Greenville, NC 27834-3763
Phone (527) 583-2112
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85002145 | Other | IL | STATE LICENSE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | adelaney298568@direct.vidanthealth.com |
Other providers in Greenville, NC
- Benjamin C Degner
- Michelle Dehart
- Jessica Dehaven
- Eric Arthur Deigan
- Arlene De Leon Delacruz
- Gage Richard Delany
- Courtney Renee Delavern
- Andrew Miller Delbridge
- Theodore Richard Delbridge
- Judith Delgado
All providers in Greenville, NC · Physician Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.