Chad Pacanowski, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA08968 Issued in TX

Practice address

3801 E Hwy 377
Suite 100
Granbury, TX 76048

Phone

(817) 573-1380

Fax

(817) 573-1381

NPI assigned

Mar 19, 2014

Last updated

Oct 27, 2021By 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 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hood Medical GroupGroup PAC ID 2567446669, 56 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lake Granbury Medical Center Hospital, Granbury, TX, CCN 450596

Merit-based Incentive Payment System (MIPS)

Final score

89.53 of 100Reported as apm

Quality

79.07

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chad.pacanowski.1@1293.direct.athenahealth.com

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.

• Hood Medical Group

  • Family Medicine Physician
  • Granbury, TX
  • NPI 1225096472

  Physician Assistant

  Medicare reassignment Care Compare group NPD
• Hood Medical Group

  • Rural Health Clinic/Center
  • Granbury, TX
  • NPI 1386341535
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Granbury Hospital Corporation

  dba Lake Granbury Medical Center

  • General Acute Care Hospital
  • Granbury, TX
  • NPI 1114998911
  Care Compare affiliation

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1811314628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 PALUXY RD",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760485689",
            "telephone_number": "817-408-3197",
            "fax_number": "817-579-3926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 E HWY 377",
            "address_2": "SUITE 100",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "76048",
            "telephone_number": "817-573-1380",
            "fax_number": "817-573-1381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACANOWSKI",
        "first_name": "CHAD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-19",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chad.pacanowski.1@1293.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "3801 E Hwy 377",
            "address_2": "Suite 100",
            "city": "Granbury",
            "state": "TX",
            "country_code": "US",
            "postal_code": "76048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ophthalmic Partners, PA
• Nancy Lynne Opperman, FNP
• Frederick Mario Oriti, PA-C
• Debra Ann Orzen, DNP, APRN, FNP-C
• Marjorie Rae Ostrander, PT
• Winter Painter
• Paluxy Emergency Physicians
• Parker County Hospital District (Avir at Granbury)
• Tori Len Parrino, LVN
• Pat a. Thomas, D.O., P.a.

• Physician Assistant in Granbury, TX
• Providers in Granbury, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.