Medicare Doctors and Clinicians
8663892727 · Nurse Practitioner · 6840 Glenwood Ave, Raleigh, NC 27612-7133
Overview
Vivian Pantelakos is a nurse practitioner enrolled with Centers for Medicare & Medicaid Services (CMS). The organization name is MINUTECLINIC DIAGNOSTIC OF NORTH CAROLINA PC. The business address is 6840 Glenwood Ave, Raleigh, NC 27612-7133. Published on March 11, 2024.
Enrollment Information
NPI | 1982473781 Nation Provider Identifier (NPI)National Plan and Provider Enumeration System (NPPES) |
PAC ID | 4880030089 PECOS Associate Control (PAC) ID Medicare Provider Enrollment and Chain/Ownership System (PECOS) |
Professional Enrollment ID | I20240311001683 |
Full Name | VIVIAN PANTELAKOS |
Gender | F |
Graduation Year | 2023 |
Primary Specialty | NURSE PRACTITIONER |
Organization Legal Name | MINUTECLINIC DIAGNOSTIC OF NORTH CAROLINA PC |
Group Practice PAC ID | 6002837572 |
Number of Group Practice Members | 180 |
Address | 6840 Glenwood Ave Raleigh NC 27612-7133 |
Telephone | 8663892727 |
Professional Accepts Medicare Assignment | Y - Accepts Medicare approved amount as payment in full |
Group Accepts Medicare Assignment | Y - Accepts Medicare approved amount as payment in full |
Provider Overview
NPI | 1982473781 Nation Provider Identifier (NPI)National Plan and Provider Enumeration System (NPPES) |
Provider Name | VIVIAN MARIA PANTELAKOS |
Address | 13845 Conlan Cir Charlotte NC 28277-2705 |
Taxonomy Code | 363LF0000X |
Enumeration Date | 2023-12-21 |
Organization Information
Organization Legal Name | MINUTECLINIC DIAGNOSTIC OF NORTH CAROLINA PC |
Address | 6840 Glenwood Ave Raleigh NC 27612-7133 |
Telephone | 8663892727 |
Doctors with the same organization
Doctor Name | Primary Specialty | Organization Legal Name | Address |
---|---|---|---|
Dayana De Leon | Nurse Practitioner | Minuteclinic Diagnostic of North Carolina PC | 4300 Hwy 49 S, Harrisburg, NC 28075-7527 |
Shelby Barkley | Nurse Practitioner | Minuteclinic Diagnostic of North Carolina PC | 10515 Mallard Creek Rd, Charlotte, NC 28262-9785 |
Varena Kirkland | Nurse Practitioner | Minuteclinic Diagnostic of North Carolina PC | 2901 Wesley Chapel Stouts Rd, Monroe, NC 28110-7940 |
Megan Wlodarczyk | Nurse Practitioner | Minuteclinic Diagnostic of North Carolina PC | 4100 Carmel Rd, Charlotte, NC 28226-6150 |
Kelly Silver Payne Payne | Nurse Practitioner | Minuteclinic Diagnostic of North Carolina PC | 9628 Rea Rd, Charlotte, NC 28277-6697 |
Charlene H Guffey | Nurse Practitioner | Minuteclinic Diagnostic of North Carolina PC | 1403 E Main St, Lincolnton, NC 28092-3901 |
Tess Green | Nurse Practitioner | Minuteclinic Diagnostic of North Carolina PC | 2344 S Church St, Burlington, NC 27215-5332 |
Shama Panjwani | Nurse Practitioner | Minuteclinic Diagnostic of North Carolina PC | 442 S Hwy 27, Stanley, NC 28164-2055 |
Lauren Teague | Nurse Practitioner | Minuteclinic Diagnostic of North Carolina PC | 522 Owen Dr, Fayetteville, NC 28304-3432 |
Estella Laughter | Nurse Practitioner | Minuteclinic Diagnostic of North Carolina PC | 612 Merrimon Ave, Asheville, NC 28804-3426 |
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Location Information
Street Address | 6840 GLENWOOD AVE |
City | RALEIGH |
State | NC |
Zip Code | 27612-7133 |
Doctors in the same location
Doctor Name | Primary Specialty | Organization Legal Name | Address |
---|---|---|---|
Molly Hardy | Physician Assistant | Minuteclinic Diagnostic of North Carolina PC | 6840 Glenwood Ave, Raleigh, NC 27612-7133 |
Zemelia Miller | Physician Assistant | Minuteclinic Diagnostic of North Carolina PC | 6840 Glenwood Ave, Raleigh, NC 27612-7133 |
Mariah Carp | Physician Assistant | Minuteclinic Diagnostic of North Carolina PC | 6840 Glenwood Ave, Raleigh, NC 27612-7133 |
Hershal Patel | Physician Assistant | Minuteclinic Diagnostic of North Carolina PC | 6840 Glenwood Ave, Raleigh, NC 27612-7133 |
Danica Thomas | Physician Assistant | Minuteclinic Diagnostic of North Carolina PC | 6840 Glenwood Ave, Raleigh, NC 27612-7133 |
Cassidy Howe | Physician Assistant | Minuteclinic Diagnostic of North Carolina PC | 6840 Glenwood Ave, Raleigh, NC 27612-7133 |
India Linise Addison | Nurse Practitioner | Minuteclinic Diagnostic of North Carolina PC | 6840 Glenwood Ave, Raleigh, NC 27612-7133 |
Jean C Evans | Physician Assistant | Minuteclinic Diagnostic of North Carolina PC | 6840 Glenwood Ave, Raleigh, NC 27612-7133 |
Johanna Christina Young | Physician Assistant | Minuteclinic Diagnostic of North Carolina PC | 6840 Glenwood Ave, Raleigh, NC 27612-7133 |
Jamie Knott | Physician Assistant | Minuteclinic Diagnostic of North Carolina PC | 6840 Glenwood Ave, Raleigh, NC 27612-7133 |
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Doctors in the same zip code
Doctor Name | Primary Specialty | Organization Legal Name | Address |
---|---|---|---|
Katherine Emily Wilson | Physician Assistant | Wake Specialty Physicians LLC | 6800 Glenwood Ave, Raleigh, NC 27612-7133 |
Tyler Daniel Williams | Family Practice | Wake Specialty Physicians LLC | 6800 Glenwood Ave, Raleigh, NC 27612-7133 |
Ashlyn Anne Gruber | Physician Assistant | Wake Specialty Physicians LLC | 6800 Glenwood Ave, Raleigh, NC 27612-7133 |
Doctors in the same zip code
Doctor Name | Primary Specialty | Organization Legal Name | Address |
---|---|---|---|
Zachary D Scott | Chiropractic | Crabtree Chiropractic Center, Pa | 4517 Lead Mine Rd, Raleigh, NC 27612-3326 |
David Kravetz | Clinical Psychologist | 5613 Duraleigh Rd, Suite 101, Raleigh, NC 27612-2694 | |
Taylor Zuber | Dermatology | Raleigh Medical Group Pa | 5603 Duraleigh Rd, Suite 111, Raleigh, NC 27612-2688 |
Marc A Burr | Chiropractic | Crabtree Chiropractic Center, Pa | 4517 Lead Mine Rd, Raleigh, NC 27612-3326 |
Jacob D Russell | Chiropractic | Crabtree Chiropractic Center, Pa | 4517 Lead Mine Rd, Raleigh, NC 27612-3326 |
Hilary L Norris | Clinical Social Worker | Dynamic Resources and Guidance Inc | 5720 Creedmoor Rd, Suite 201, Raleigh, NC 27612-2383 |
Shelley Anderson | Nurse Practitioner | Rtp Healthy Wellness PLLC | 3708 Forestview Rd, Suite 205, Raleigh, NC 27612-2391 |
Thomas Andersen | Chiropractic | Crabtree Chiropractic Center, Pa | 4517 Lead Mine Rd, Raleigh, NC 27612-3326 |
Anju Verma | Clinical Social Worker | 5720 Creedmoor Rd, Suite 201, Raleigh, NC 27612-2383 | |
D'Nicole Melique Tangen | Clinical Social Worker | Easter Seals Ucp North Carolina and Virginia Inc | 5171 Glenwood Ave, Suite 211, Raleigh, NC 27612-3266 |
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Dataset Information
This dataset includes over one million physicians and other clinicians currently enrolled in Medicare. The dataset contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation. Each physician is registered with National Provider Identifier (NPI), PECOS Associate Control (PAC) ID, full name, specialty, phone, organization, hospital, address, medical school, etc.
Subject | Transparency and Disclosure |
Jurisdiction | Federal |
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Source | data.cms.gov |
Dataset Details
The Centers for Medicare & Medicaid Services gives useful information about doctors, clinicians, and groups listed on Medicare Care Compare. The data is available in the Provider Data Catalog (PDC) for the performance year (PY) of the Quality Payment Program. The informatoin include: demographic data describing individual doctors and clinicians; clinician, group, and virtual group Merit-based Incentive Payment System (MIPS) performance information; clinician overall MIPS Final Score and performance category score information; and clinician utilization data. The Doctors and Clinicians data contains the following information:
- The clinician/enrollment record/group/address data: Clinicians may have multiple Medicare enrollment records and/or single enrollments linking to multiple practice locations.
- Performance information for Merit-Based Incentive Payment System (MIPS) Quality, Promoting Interoperability, and Improvement Activities performance information submitted by clinicians.
- Merit-Based Incentive Payment System (MIPS) Final Scores and performance category scores for clinicians.
- performance information for Merit-Based Incentive Payment System (MIPS) Quality, Promoting Interoperability, and Improvement Activities performance information submitted by groups.
- Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS measures submitted by groups.
This dataset includes over one million doctors, clinicians, and groups enrolled in Medicare. The data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA). The data for each entity includes National Provider Identifier (NPI), PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.