MRS. AVIANCE CHANTAL PANKEY NP
NPI 1053116368
Nurse Practitioner - Psychiatric/Mental Health in Virginia Beach, VA

Active since February 19, 2025Opted out of Medicare · through Apr 24, 2027
2528 LAS BRISAS DR, VIRGINIA BEACH, VA 23456(757) 689-0334(757) 689-0350 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 6, 2026, Feb 19, 2025 (2 updates tracked since 2025).

About Mrs. Aviance Chantal Pankey Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. AVIANCE CHANTAL PANKEY NP (NPI 1053116368) is an individual psychiatric/mental health provider in Virginia Beach, Virginia, licensed in Virginia (0024192635) and active in the NPI registry since February 2025. She has opted out of Medicare through April 24, 2027 and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1053116368
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. AVIANCE CHANTAL PANKEYCredential: NP
Location Address2528 LAS BRISAS DRVirginia Beach, VA 23456-4264
Mailing Address3600 Forest Dr Ste 302Columbia, SC 29204-4057 · (803) 699-8887 · Fax (803) 699-8824
Fax(757) 689-0350
Sole ProprietorNo
Enumeration DateFebruary 19, 2025
Last NPPES UpdateFebruary 6, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2026
NPI 1053116368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in VA · 0024192635 Licensed in SC · 31042
2528 LAS BRISAS DR, Virginia Beach, VA 23456

Secondary Practice Location 1

Location 13600 Forest Dr Ste 302Columbia, SC 29204-4057 · Phone (803) 699-8887 · Fax (803) 699-8824

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Mrs. Aviance Chantal Pankey Np has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 24, 2025 through April 24, 2027.

Opt-Out Effective DateApril 24, 2025
Opt-Out In Effect ThroughApril 24, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
2528 LAS BRISAS DR
VIRGINIA BEACH, VA 23456
Family Medicine
2528 LAS BRISAS DR
VIRGINIA BEACH, VA 23456
Social Worker (Clinical)
2528 LAS BRISAS DR
VIRGINIA BEACH, VA 23456
Counselor (Professional)
2528 LAS BRISAS DR
VIRGINIA BEACH, VA 23456
Counselor (Professional)
2528 LAS BRISAS DR
VIRGINIA BEACH, VA 23456
Registered Nurse
2528 LAS BRISAS DR
VIRGINIA BEACH, VA 23456
Counselor (Professional)
2528 LAS BRISAS DR
VIRGINIA BEACH, VA 23456
Counselor (Professional)
2528 LAS BRISAS DR
VIRGINIA BEACH, VA 23456

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Aviance Pankey's NPI number?

The NPI number for Aviance Pankey is 1053116368. It was assigned to this individual provider in the NPPES registry on February 19, 2025.

Where is Aviance Pankey located?

Aviance Pankey practices at 2528 Las Brisas Dr, Virginia Beach, VA 23456. The listed phone number is (757) 689-0334.

What is Aviance Pankey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Aviance Pankey enrolled in Medicare?

No. Aviance Pankey has opted out of Medicare through April 24, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Aviance Pankey was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.