Individual provider Active NPI

Lindsay Nicole Panek, PA-C

  • Physician Assistant
  • San Francisco, CA
National Provider Identifier
1578098620
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA63107 Issued in CA
Practice address
1563 Mission St
San Francisco, CA 94103-2543
Phone
(415) 762-3700
NPI assigned
Apr 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA63107 CA Primary

Addresses

Primary practice location

1563 Mission St
San Francisco, CA 94103-2543

Mailing address

1530 Union Rd Ste a
Gastonia, NC 28054-2201
Phone (704) 867-6188

Other practice location 1

1530 Union Rd Ste A
Gastonia, NC 28054-2201
Phone (704) 867-6188

Other identifiers 1

IdentifierTypeStateIssuer
0010-07116OtherNCLICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, CA2 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
I20170921003274 NC Practitioner - Physician Assistant 1254605744 Reassigns benefits to 2 organizations
I20250415000516 CA Practitioner - Physician Assistant 1254605744 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
63107CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthright 360 CurrentSince Mar 2, 2025 Accepting new patients
Healthright 360 CurrentSince Mar 2, 2025 Accepting new patients
Phoenix Counseling Center CurrentSince Jul 20, 2019 Accepting new patients
Healthright 360 Past Accepting new patients

Locations

2505 Court Dr
Gastonia, NC 28054
Phone (704) 842-6359

1530 Union Rd
Ste A
Gastonia, NC 28054
Phone (704) 861-0271

Interoperability endpoints

  • Direct secure messaging: lindsay.panek@foothillspsychshelby.direct.kno2fy.com
  • Direct secure messaging: lpanek705667@direct.ochin.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1578098620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 UNION RD STE A",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542201",
            "telephone_number": "704-867-6188",
            "fax_number": "704-866-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1563 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032543",
            "telephone_number": "415-762-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1530 Union Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280542201",
            "country_code": "US",
            "telephone_number": "704-867-6188",
            "fax_number": "704-866-4437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANEK",
        "first_name": "LINDSAY",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-26",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA63107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "0010-07116",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.