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Active NPI 1962634659 Individual Practitioner Male Practitioner

Jean J Pantal , CRNP

Nurse Practitioner • Wilmington, DE

Professional Overview & Biography Verified Profile Summary

Jean Pantal, CRNP is a registered healthcare professional specializing in Nurse Practitioner in Wilmington, DE. Practice services are available at 1500 SHALLCROSS AVE STE 1A under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1500 Shallcross Ave Ste 1a

Wilmington, DE 198063037

Telephone 3022005080
Associated Practice Facility / Clinic
🏢 Solenus Facility NPI 1619637618

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Wilmington, DE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.1 Yrs
State Avg: 9.1 Yrs
Regional Practice Density
197 Specialists

Practicing in Wilmington, DE (552 Statewide)

Telehealth Adoption Rate
7.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
68.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
30 11 $263.78 $81.93

Medical Specialties & State Licenses

CMS Verified: 2023-04-20
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License PA SP010360

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Adult Health

NUCC Taxonomy Code: 363LA2200X

State License PA SP010360

Definition to come...

Nurse Practitioner - Community Health

NUCC Taxonomy Code: 363LC1500X

State License PA SP010360

Definition to come...

Nurse Practitioner - Gerontology

NUCC Taxonomy Code: 363LG0600X

State License PA SP010360

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location April 20, 2023

Registered at 1500 SHALLCROSS AVE STE 1A, WILMINGTON, DE 198063037 (Tel: 3022005080)

📍
Updated Business Mailing Address April 20, 2023

Registered at 1500 SHALLCROSS AVE, WILMINGTON, DE 198063037 (Tel: 3022005080)

📍
Updated Practice Location November 15, 2022

Registered at 200 CONTINENTAL DR STE 401, NEWARK, DE 197134337 (Tel: 3022005080)

📍
Updated Business Mailing Address October 20, 2022

Registered at 200 CONTINENTAL DR STE 401, NEWARK, DE 197134337 (Tel: 3022005080)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2022

Nurse Practitioner (License #SP010360 in PA)

📍
Updated Practice Location July 30, 2019

Registered at 8 CHURCH ST, WILKES BARRE, PA 187023542 (Tel: 5708083700)

📍
Updated Business Mailing Address July 30, 2019

Registered at 100 N ACADEMY AVE, DANVILLE, PA 178224903 (Tel: 5702716144)

👤
Provider Name / Credentials Updated July 30, 2019

Recorded as JEAN PANTAL, CRNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2019

Nurse Practitioner (License #SP010360 in PA)

NPI Profile Active November 30, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location November 30, 2011

Registered at 301 E CITY LINE AVE, BALA CYNWYD, PA 190041708 (Tel: 6106178766)

📍
Updated Business Mailing Address November 30, 2011

Registered at 3305 BARTRAM RD, WILLOW GROVE, PA 190902203 (Tel: 2157840637)

👤
Provider Name / Credentials Updated November 30, 2011

Recorded as JEAN PANTAL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2011

Nurse Practitioner (License #SP010360 in PA)

🟢
Initial NPI Registration & Enumeration August 14, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962634659
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2009
Last Update: April 20, 2023
Sole Proprietor: Yes

Mailing Address

1500 Shallcross Ave

Wilmington, DE 198063037

Phone: 3022005080

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.