JOE PANELLI PA-C
NPI 1508417957
Community/Behavioral Health in Prineville, OR

Active since September 26, 2019PECOS EnrolledAccepts Medicare Assignment
375 NW BEAVER ST STE 101, PRINEVILLE, OR 97754(520) 643-6627 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2025, Apr 1, 2025, Dec 5, 2024 and 2 more (5 updates tracked since 2019).

About Joe Panelli Pa-c NPPES

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

JOE PANELLI PA-C (NPI 1508417957) is an individual community/behavioral health provider in Prineville, Oregon, licensed in Arizona (7636) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS, is affiliated with St Charles Medical Center - Bend, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1508417957
Entity TypeIndividualMale
Primary Taxonomy251S00000X
Provider Legal NameJOE PANELLICredential: PA-C
Location Address375 NW BEAVER ST STE 101Prineville, OR 97754-1802
Mailing Address4948 E Dallas StMesa, AZ 85205-6434 · (520) 643-6627
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 26, 2019
Last NPPES UpdateAugust 12, 20255 updates tracked since enumeration
NPPES CertifiedAugust 12, 2025
NPI 1508417957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License Licensed in AZ · 7636
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedPhysician AssistantTaxonomy 363A00000X · License 7636 (AZ)
375 NW BEAVER ST STE 101, Prineville, OR 97754

Secondary Practice Locations 2

Location 1375 NW Beaver St Ste 101Prineville, OR 97754-1802 · Phone (520) 643-6627
Location 21120 W University Ave Ste 101Flagstaff, AZ 86001-2851 · Phone (928) 522-1300 · Fax (928) 522-1301

Other Identifiers 1

Medicaid162424AZ

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Joe Panelli Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678942471
PECOS Enrollment IDI20221219001305, I20251022002788
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Charles Medical Center - Bend

Acute Care Hospitals · Bend, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380047
Location2500 NE Neff RoadBend, OR 97701 · Deschutes County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 15

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

Nurse Practitioner
375 NW BEAVER ST STE 101
PRINEVILLE, OR 97754
Nurse Practitioner (Family)
375 NW BEAVER ST STE 101
PRINEVILLE, OR 97754
Interpreter
375 NW BEAVER ST STE 101
PRINEVILLE, OR 97754
Internal Medicine
375 NW BEAVER ST STE 101
PRINEVILLE, OR 97754
Nurse Practitioner (Family)
375 NW BEAVER ST STE 101
PRINEVILLE, OR 97754
Nurse Practitioner (Gerontology)
375 NW BEAVER ST STE 101
PRINEVILLE, OR 97754
Nurse Practitioner (Family)
375 NW BEAVER ST STE 101
PRINEVILLE, OR 97754
Community Health Worker
375 NW BEAVER ST STE 101
PRINEVILLE, OR 97754

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 Joe Panelli's NPI number?

The NPI number for Joe Panelli is 1508417957. It was assigned to this individual provider in the NPPES registry on September 26, 2019.

Where is Joe Panelli located?

Joe Panelli practices at 375 NW Beaver St Ste 101, Prineville, OR 97754. The listed phone number is (520) 643-6627.

What is Joe Panelli's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Joe Panelli enrolled in Medicare?

Yes. Joe Panelli is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Joe Panelli accept?

Health plans from Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Joe Panelli as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Joe Panelli affiliated with any hospitals?

According to CMS data, Joe Panelli is affiliated with St Charles Medical Center - Bend.

When was this NPI record last updated?

The NPPES record for Joe Panelli was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.