MS. AGNES BLANCHE DELANEY (PA) – Physician Assistant, NPI 1366445975

MS. AGNES BLANCHE DELANEY (PA) is a healthcare provider. based in Carbondale, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 085002145 (IL). The NPI Number for MS. AGNES BLANCHE DELANEY (PA) is 1366445975

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MS. AGNES BLANCHE DELANEY (PA)
NPI
1366445975
Phone
(618) 457-5200
Address
PO BOX 3988
Enumeration Date
27 May 2005
Last Update Date
13 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9108785100
Graduation Year
2011 (15 years ago)
PAC ID
2264409192
Group Practice PAC ID
4284881012
Professional Enrollment ID
I20200410000751
Address ID
NC283767979RA6322XRDXX302

Contacts

Secure Messaging
adelaney298568@direct.vidanthealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:21State licenses:2Other namesUpdated within 12 months

8,322 PHYSICIAN ASSISTANT in NC

Provider Addresses for MS. AGNES BLANCHE DELANEY (PA)

  • PO BOX 3988

    CARBONDALE, IL 629023988

    Phone: (618) 457-5200

    Type: Mailing

  • 850 WH SMITH BLVD

    GREENVILLE, NC 278343763

    Phone: (527) 583-2112

    Type: Mailing

  • West Oak Street, Carbondale, Jackson County, Illinois, 62901, United States

    CARBONDALE, IL 629011464

    Phone: (618) 529-4455

    Fax: (618) 351-1287

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 36 Open Payments records for all available years, with a total value of $1,603.

Total Amount is formed as General ($1,603) + Research ($0) + Ownership ($0) = $1,603.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($603).

Total Amount

$1,603

General + Research + Ownership

Payments

36

Total payment records

General Amount

$1,603

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-04-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040910001220IPhysician AssistantILTBD
I20200410000751IPhysician AssistantNCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes10390$0
93016Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician8180$0
99214Established patient office or other outpatient visit, 30-39 minutes6757$0
99212Established patient office or other outpatient visit, 10-19 minutes6156$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4132$0
View full utilization report →

Insurance plans in this area (ZIP 62902)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284881012View full group profile
NameSpecialtyState
Internal Medicine, Cardiovascular Disease (Cardiology)NC
Cardiovascular Disease (Cardiology)NC
Cardiovascular Disease (Cardiology)MA
Cardiovascular Disease (Cardiology), Internal MedicineNC
Nurse PractitionerNC
Nurse PractitionerNC
Interventional CardiologyNC
Nurse PractitionerNC
Cardiovascular Disease (Cardiology)NC
-NC

Reviews

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Frequently asked questions

What is the standard ID for MS. AGNES BLANCHE DELANEY (PA) in the U.S.?
In the U.S., MS. AGNES BLANCHE DELANEY (PA) is identified by NPI 1366445975.
Should I treat MS. AGNES BLANCHE DELANEY (PA) as an active provider?
Patients and plans typically see MS. AGNES BLANCHE DELANEY (PA) as active in the national extract.
What does the directory say MS. AGNES BLANCHE DELANEY (PA) does?
Insurance directories may phrase it differently, but here MS. AGNES BLANCHE DELANEY (PA) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to MS. AGNES BLANCHE DELANEY (PA)?
The directory associates MS. AGNES BLANCHE DELANEY (PA) with Carbondale, Illinois. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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