JOE PANELLI (PA-C) – Community/Behavioral Health Agency, NPI 1508417957
Community/Behavioral Health Agency
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
Provider Addresses for JOE PANELLI (PA-C)
375 NW Beaver St Ste 101
Prineville, OR 977541802
Phone: (520) 643-6627
Type: Location
1120 W University Ave Ste 101
Flagstaff, AZ 860012851
Phone: (928) 522-1300
Fax: (928) 522-1301
Type: Location
524, South 88th Street, Wynstone, Mesa, Maricopa County, Arizona, 85208, United States
MESA, AZ 852088213
Phone: (928) 255-2862
Type: Mailing
375 NW BEAVER ST STE 101
PRINEVILLE, OR 977541802
Phone: (520) 643-6627
Type: Location
4948 E DALLAS ST
MESA, AZ 852056434
Phone: (520) 643-6627
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-10-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221219001305 | I | Physician Assistant | AZ | TBD |
| I20251022002788 | I | Physician Assistant | OR | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97754)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OR | |
| - | OR | |
| Nurse Practitioner | OR | |
| Physician Assistant | OR | |
| Internal Medicine | OR | |
| - | OR | |
| Nurse Practitioner | OR | |
| Clinical Social Worker | OR | |
| Nurse Practitioner | WA | |
| - | OR |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.