ANJA SUMMERS PANETTA PA
NPI 1083866776
Physician Assistant - Surgical in Avon, CT

Active since October 14, 2008PECOS Enrolled
30 WEST AVON ROAD, SUITE E, AVON, CT 06001(860) 674-9900(860) 678-0036 Get Directions Write a Review

NPPES record last updated: August 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Anja Summers Panetta Pa NPPES

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

ANJA SUMMERS PANETTA PA (NPI 1083866776) is an individual surgical provider in Avon, Connecticut, licensed in Connecticut (003080) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083866776
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameANJA SUMMERS PANETTACredential: PA
Location Address30 WEST AVON ROAD, SUITE EAvon, CT 06001-4275
Mailing Address30 West Avon Road, Suite EAvon, CT 06001-4275 · (860) 674-9900 · Fax (860) 678-0036
Fax(860) 678-0036
Sole ProprietorNo
Enumeration DateOctober 14, 2008
Last NPPES UpdateAugust 2, 2021
NPPES CertifiedAugust 14, 2020
NPI 1083866776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CT · 003080
Also ListedPhysician AssistantTaxonomy 363A00000X · License 003080 (CT)
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 003080 (CT), 012881 (NY)
30 WEST AVON ROAD, Avon, CT 06001

Other Names 1

Former Name (1)Anja Marie Summers Pa

Other Identifiers 1

Medicaid003030806CT

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Anja Summers Panetta Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

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

Dermatology
30 WEST AVON ROAD, SUITE E
AVON, CT 06001
Nurse Practitioner
30 WEST AVON ROAD
AVON, CT 06001
Physician Assistant
30 WEST AVON ROAD, SUITE E
AVON, CT 06001
Family Medicine
30 WEST AVON ROAD
AVON, CT 06001

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 Anja Panetta's NPI number?

The NPI number for Anja Panetta is 1083866776. It was assigned to this individual provider in the NPPES registry on October 14, 2008. The provider is also known as Anja Marie Summers PA.

Where is Anja Panetta located?

Anja Panetta practices at 30 West Avon Road Suite E, Avon, CT 06001. The listed phone number is (860) 674-9900.

What is Anja Panetta's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Anja Panetta enrolled in Medicare?

Yes. Anja Panetta is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Anja Panetta was last updated on August 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.