Charles Pankow, CRNP
NPI 1174366884 · Nurse Practitioner · Philadelphia, PA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Charles Pankow, CRNP is a Nurse Practitioner provider in Philadelphia, PA (NPI 1174366884).
Provider details
- NPI number
- 1174366884
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNP
- Sex
- Male
- Sole proprietor
- No
- License
- APRN11033483 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
2 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
3 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,962 across 19 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 3132 Royal Gardens AveFort Myers, FL 33916-4580Phone: (239) 994-3350
- 13685 Doctors Way Ste 350Fort Myers, FL 33912-4347Phone: (239) 343-3800Fax: (239) 343-3993
Registry dates
- Enumerated
- 2024-06-18
- Last updated
- 2026-02-18
- Certified
- 2026-02-18
Frequently asked questions
- What is Charles Pankow's NPI number?
- Charles Pankow's National Provider Identifier (NPI) is 1174366884, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Charles Pankow's specialty?
- Charles Pankow is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Charles Pankow located?
- Charles Pankow's practice location on file with NPPES is 330 South Ninth Street, Philadelphia, PA 19107-6103.
- What is Charles Pankow's phone number?
- The practice phone number listed in the NPPES registry for Charles Pankow is (215) 662-3606.
- Does Charles Pankow accept Medicare?
- Charles Pankow is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Charles Pankow's NPI active?
- Yes — Charles Pankow's NPI (1174366884) is active in the NPPES registry as of the last update on 2026-02-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.