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Deactivated NPI 1417601063 Deactivated / Inactive NPI Female Practitioner

Pansy Lee Makely

Licensed Practical Nurse • Stafford, VA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Pansy Makely has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 11, 2022
NPI Deactivation Date April 17, 2025
Total Practice Duration ~3 Years of Practice (2022 – 2025)

Professional Overview & Biography Verified Profile Summary

Pansy Makely was a registered Licensed Practical Nurse practicing in Stafford, VA. Throughout an active medical career spanning 3 years, Pansy Makely provided care at the practice location at 1229 GARRISONVILLE RD STE 104 until profile deactivation on 2025-04-17.

Practice Location & Contact Primary Location

Practice Address

1229 Garrisonville Rd Ste 104

Stafford, VA 225563655

Telephone 5407791648
Fax 5406027062
Associated Practice Facility / Clinic
🏢 Grace Health Services Llc Facility NPI 1528614674

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Stafford, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
8 Specialists

Practicing in Stafford, VA (613 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License VA 0002071642

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Darniesha Greene , NP-C

Nurse Practitioner - Family

NPI 1710427653

Nurse Practitioner (Certified)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated April 17, 2025

Record deactivated on April 17, 2025

NPI Profile Active February 11, 2022

NPI status registered as active in NPPES database

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Updated Practice Location February 11, 2022

Registered at 1229 GARRISONVILLE RD STE 104, STAFFORD, VA 225563655 (Tel: 5407791648)

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Updated Business Mailing Address February 11, 2022

Registered at 7312 BUNKER HILL RD, THE PLAINS, VA 201982105 (Tel: 5712446132)

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Provider Name / Credentials Updated February 11, 2022

Recorded as PANSY MAKELY

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2022

Licensed Practical Nurse (License #0002071642 in VA)

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Initial NPI Registration & Enumeration February 11, 2022

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: 1417601063
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 11, 2022
Last Update: February 11, 2022
Deactivation Date: April 17, 2025

Mailing Address

7312 Bunker Hill Rd

The Plains, VA 201982105

Phone: 5712446132

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.