Vincent Ward Pankonin, D,C,

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3066 Issued in MN

Practice address

720 3Rd Avenue SW
Suite 3
Perham, MN 56573

Phone

(218) 298-1886

Fax

(218) 347-1592

NPI assigned

Sep 14, 2006

Last updated

Feb 9, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

87.39 of 100Reported as group

Quality

91.62

Promoting interoperability

100

Improvement activities

40

Cost

66.36

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Perham Hospital District

  dba Perham Health

  • Chiropractor
  • Perham, MN
  • NPI 1932113768
  Medicare reassignment NPD
• Perham Hospital District

  • Durable Medical Equipment & Medical Supplies
  • Perham, MN
  • NPI 1558630012
  NPD

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1366547069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 3RD AVENUE SE",
            "address_2": "SUITE 3",
            "city": "PERHAM",
            "state": "MN",
            "postal_code": "56573",
            "telephone_number": "218-340-7851",
            "fax_number": "218-347-1592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 3RD AVENUE SW",
            "address_2": "SUITE 3",
            "city": "PERHAM",
            "state": "MN",
            "postal_code": "56573",
            "telephone_number": "218-298-1886",
            "fax_number": "218-347-1592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANKONIN",
        "first_name": "VINCENT",
        "middle_name": "WARD",
        "credential": "D,C,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3066",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "DC3066",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "455S6PA",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507728100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Rose Olson, OD
• Kayla Ostlund, RBT
• Otter Tail Wadena Community Action Council
• Sarah Abosede Oyesile
• Bridgit Pankonin, LPC
• Carmen Ann Parks, LADC
• Morgan Parks, DMD
• Mark R Paulson, MD
• Christopher Peluso, PA-C
• Perham Area EMS

• Chiropractor in Perham, MN
• Providers in Perham, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.