DANIEL NALEPKA, PA-C
**** ****** ***** ********, ** 48144
• ******.*******@*****.***
Social Security No.: xxx-xx-2843 • Citizenship: USA • Veterans’ Status: Honorable Discharge Federal Status/Highest Grade: GS-0603-12 (SENIOR) Step 10 Over twenty years’ experience as a clinician and healthcare management professional. I am self-motivated, with an analytic approach to problem solving, and able to work independently or within diverse groups, adapting to new situations and requirements easily. Able to create a team based work environments that are both patient centered, and fiscally responsible with proven contract and CQI oversight. Broad scope of knowledge in key areas:
Advanced Clinical Provider: Graduate ARC-PA program & Certified by NCCPA. Extensive experience in the field of medicine working in multiple environments to include, Primary Care, Family Medicine, Internal Medicine, Occupational, Geriatric, Home-Based, Addiction Medicine, Correctional, Military, Tele-Health, International Medical Evacuation, Urgent Care, Rural/Remote Medicine and Ordering and analyzing diagnostic tests. This wide and varied experience has included both leadership and non-leadership positions, while consistently maintaining the highest level of quality care for patients from diverse populations and backgrounds. Also demonstrated knowledge and unique ability to promptly recognize serious medical conditions and provide pertinent referrals to specialty and higher level of care sufficient to treat patients - including initiating effective actions in emergencies & urgent care situations (e.g. BLS, ACLS, ATLS, and international overseas medical evacuations). Project Management & Leadership: Experience providing fiscal leadership and supervising the day-to-day operations of multiple medical, psychiatric and social service clinic and staff, in addition to planning, designing, and implementing both the physical and systems design of new clinics in rural Oregon and remote Afghanistan. Maintain inventory of medications and supplies and oversight of controlled substances. Manage all aspects of medical emergency preparedness plan for Midway Henderson Field Airport and/or Tsunami natural disaster and/or mass causality event. Also advise and educate regarding Covid-19 pandemic plan. Oral, Written, and Educational Communications: Wrote numerous policy and procedure manuals, as well as presented technical PowerPoint CQI documents in non-technical language. Presented and taught numerous formal and information educational sessions to leadership, coworkers, patients, and their families. Provided staff training and supervision to include teaching of CPR, BLS and first responder staff. Patient Care Philosophy: Primary & Urgent care expert advising patients and their families on setting and achieving desired healthcare goals. Provide accurate information about patient condition, and effectively communicate information in a way that reinforces the patients’ ultimate autonomy (and satisfaction that they are getting the best possible care available). DANIEL NALEPKA, PA-C, SSN: xxx-xx-2843 Page 2
CORE COMPETENCIES
• Knowledge of history, physical, and psychosocial assessments in order to perform complete physical examinations
• Ability to provide skilled & effective care to patients; i.e. assess, plan, implement, document, & evaluate evidence based primary patient care; manage care for assigned patients; Ability to interpret diagnostic test and procedures sufficient to determine normal and abnormal findings; excellent interpersonal skills working in a high stress environment with multiple complex organizations and stakeholders.
• Competent and thorough documentation of patient care via paper and/or EHR/EMR
• Knowledge and hands-on familiarity with multiple computer systems – to include Electronic Medical Records such as; EPIC, AHLTA/CHCS, ICDB, VISTA
• Case management & utilization review; JCAHO, CARF, & OASIS Accreditation
• Knowledge of Patient Centered Medical Home (PCMH), NCQA (HEDIS) & DHHS
(PPIP) measures
• CPT & ICD-9 & 10 coding & billing, DSM-IV criteria & Social Service counseling
• NYSDOH (SPARCS & URS) database format, Statistical data analysis with SPSS, MS Word, Excel, PowerPoint, & Access; Film & Video Advertising Communications
• ICH, FDA, NIH guidelines for clinical research, Multiple AMEDD & MEDCOM Regulations, Policies & Operations including AR 40-501; Develop & conduct (CME
& CASAC) training; Writing & monitoring CQI Policy & Procedures
• Demonstrated high degree of integrity, decisiveness and fairness in order to equitably apply the regulations and policies of a medical program to all eligible persons
EMPLOYMENT HISTORY
Physician Assistant – Onsite Clinic Manager 03/2020 – 08/2020
(Locum)- Remote Urgent and Emergency Medicine 40 Hr/wk Medcor Inc – Midway Atoll NWR (Fish and Wildlife Services) On-call 24/7 4805 Prime Pkwy, McHenry, IL 60050, +1-815-***-**** Supervisor: Liz Edelstein, MD 815-***-**** or 917-***-**** You may contact *********.*********@******.***
John Bradford, PA-C 815-***-**** ****.********@******.*** Linda Haney, MD 224-***-**** *****.*****@******.*** Chris Culbertson, RN Operations Manager 406-***-**** *****.**********@******.*** Job description summary: Provide Urgent & Occupational medicine 8 hours per day, 5 days per week and be On-Call 24/7 in remote environment for all medical needs during a temporary 5 month rotation – including determining the need and arranging for medical evacuation by USCG aircraft to nearest level 1 trauma center in Honolulu (which is 6 hours away round trip by air evacuation).
• Management of day to day health clinic operations and resources to include complete inventorying and ordering of supplies (e.g. Durable equipment, PPE, medications, etc) DANIEL NALEPKA, PA-C, SSN: xxx-xx-2843 Page 3
• Sole Health Care Provider for remote NW Pacific Ocean island with approximately 50 residents (DBSI contract staff – TCN Thai nationals & FWS employees & volunteers)
• Performing therapeutic procedures within the scope of primary and emergency care to include stabilizing and monitoring patients prior to medevac
• Responsible for all aspects of clinic operation including – Nursing, Laboratory, Radiology, and Janitorial (e.g. Take vitals, calibrate lab equipment, take & process blood and urine samples, take x-rays and develop film in darkroom, clean clinic - mopping floors, and clean instruments in autoclave, and incinerate trash, and document use and reconciliation of meds to include controlled substances).
• Monitoring & Inspection of dining facility for food safety issues
• Planning, Coordination & Education of Post pandemic medical response plan to include ensuring the use of universal infectious disease and safety precautions (e.g. Supervised and monitored Covid-19 prevention such as 14-day medical quarantine and isolation procedures of all new island residents to include daily monitoring)
• Demonstrated tolerance of non-scheduled work hours and travel, physical endurance with tolerance of separation from family, and working/living in difficult and/or isolated conditions
• Demonstrated personal skills in social perceptiveness, and acclimating to different cultures as almost half of island staff were TCN’s from Thailand who were unable to return home as schedule due to the Covid-19 outbreak and need for collaborative plans and complex intercultural problem solving were required to create new Primary Care treatment plans when we had to find alternative sources for prescriptions, while working with limited resources.
• Liaison with Chugach Defense Base Service Industry & FWS managers
• Collaboration with regional clinical supervisors and operational colleagues @ Medcor Inc
• Create and submit monthly and quarterly reports for statistical surveillance and manage island wide flu immunization program
Physician Assistant (Locum)- Flight Medicine & Deployment Health 06/2019 – 03/2020 27th Special Operations Medical Group – US Air Force 40 Hr / Wk Loyal Source Government Services HR 407-***-**** 224 West D.L. Ingram Ave, Bldg. 1408
Cannon AFB, NM 88103
Supervisor: Maj. Rosemarie Chuidian, MD 575-***-**** You may contact ********.*.********.***@****.***
Capt. Katherine Milam, DO 575-***-**** – *********.*.*****.***@****.*** Melisa Valmoria, PA-C – 225-***-**** – *********@*****.*** Job description summary: Provide occupational medicine 8 hours per day, 5 days per week
• Provide face to face direct primary care & mental health encounters for active duty service members.
• Provide telephone consults for mandatory periodic post-deployment mental health evaluations
• Provide mental health support and care in collaboration with physician psychiatry, psychologist and social work colleagues
DANIEL NALEPKA, PA-C, SSN: xxx-xx-2843 Page 4
• Managing infectious disease risks, including malaria and other tropical diseases; deployment of population outreach efforts to encourage use of prophylactic medications to include prescribing of medications
• Maintaining own credentials, licensure, and continuing medical education to include US DoD mandatory training (e.g. OPSEC, etc)
• Provided chart review to determine eligibility for deployment using DoD and US Air Force standards including: AFRIT, AMWITS, & Mod 14. Knowledge of Aviation Medicine to include qualifications for flying duty
• Demonstrated loyalty to U.S. top secret clearance mission confidentiality objectives
• Provide routine and travel vaccinations
Physician Assistant - Occupational Medicine 10/2018 – 1/2019 Worksphere Occupational Medicine Clinic 40 Hr / Wk 5449 S Occidental Hwy, Tecumseh, MI 49286
Supervisor: Victor Cherfan, DO ********@*****.*** 734-***-**** You may contact Job description summary: Provide occupational medicine 8 hours per day, 5 days per week
• Manage active workers comp caseload and compliant with Michigan law.
• Oversight of local employee pre-employment, fitness for duty, and driver’s certification screening programs to include duties as an occupational health advisor for numerous employers with lumber, automobile and chemical manufacturing plants
• Provided Annual physicals compliant with OSHA Respiratory, Hearing, and DOT exams FMLA CARE OF MOTHER (TRANSFER CARE FROM FLORIDA TO MICHIGAN) JUNE TO SEPT 2018 Physician Assistant - Occupational Primary Care & Urgent Medicine 3/2014 – 5/2018 Lee Health – Fort Myers, FL 38 Hr / Wk
2776 Cleveland Ave, Fort Myers, FL 33901 239-***-**** Supervisor: Paul Fortier, MD ****.*******@*********.*** 239-***-**** You may contact
Supervisor: Andrew Singh, MD *******@*******.*** 314-***-**** Ann Boudreaux, MD ***.*********@*********.*** 239-***-**** Tiffany McGee, MD 239-***-**** & Saiful Islam, MD 239-***-**** & Avery Wright, DO
Job description summary: Provide occupational and urgent care medicine 12 hours per day, 3 days per week:
• Manage active workers comp caseload and compliant with Florida law regarding the responsibilities of health care providers as outlined in Section 440.13, Florida Statutes
(F.S.) and Chapter 69L-7, Florida Administrative Code (F.A.C.)
• Provide DOT exams
09/2013 until 2/2014 – Unemployed (Travelling – 3 months Europe & Asia) (Looking for work
– 2 months)
Physician Assistant - Occupational Primary Care & Urgent Medicine 10/2012 – 9/2013 Onsite OHS Inc. – Multiple locations, Afghanistan 84 Hr / Wk DANIEL NALEPKA, PA-C, SSN: xxx-xx-2843 Page 5
101 N. Hart Street, Princeton, IN 47670
Supervisor: Robert Lott, MD **********@*********.*** 904-***-**** You may contact
Supervisor: Larry Sharp, MD **********@*****.***
Job description summary: Provide occupational and urgent remote care medicine 12 hours per day, 7 days per week:
• Medical Management Officer - Supervised all med-evacs out of southern Afghanistan.
• Determined (& tracked) "Fit for Duty" status of all DynCorp employees on medical leave, both leaving and returning Afghanistan from multiple countries around the world.
(Patient population 17,000 employees from countries like India, Nepal, Kenya, Philippines, Macedonia, Bosnia, Great Britain, USA, etc). Coordinated and interpreted physician diagnostic work-up and testing (at home of record) on all patients requesting to return. Since the patients came from all over the world, skills needed included frequently bridging cultures and languages, while being precise and detail oriented. During this time created & introduced a whole new system of tracking the patients.
• Provided general Occupational and Urgent care medicine at Kandahar Air Field, Camp Dwyer, & Shindand Air Base walk-in clinics while stationed there, in addition to MMO and QA/QC duties.
• Managed over 20 remote medics by Tele-Health communications at various Forward Operating Bases (FOB's) in the Tarin Kowt, Afghanistan region.
• Designed floor plans, and was lead medical liaison for the construction of a new medical clinic at Shindand AB, Afghanistan.
• Taught OSHA first aid and BLS to over 400 DynCorp employees stationed at Shindand AB.
• Provided QA/QC review and tracking for over 100 medical providers medical records
(MD's, PA's, & Medics).
09/2012 until 10/2012 – Unemployed (Travelling - Education) Physician Assistant (Locum-Temp) - Primary Care Medicine 7/2012 – 08/2012
Bureau of Prisons - FCC Forrest City, AR 40 Hr / Wk CompHealth Temp Staffing – PO Box 713100 Salt Lake City, UT 84171-3100) Dawn White (PA representative) 800-***-**** You may contact Job description summary: Provide primary care and urgent care medicine to federal prisoners at a medium security prison 5 days per week: Provide sick call and acute care prisoners’. Coordinated with professional supportive personnel and provided patient care including addressing emergencies, patient discomfort and ongoing treatment plans.
Other Responsibilities:
DANIEL NALEPKA, PA-C, SSN: xxx-xx-2843 Page 6
§ Order and interpret laboratory, radiological and diagnostic tests; initiate consultations and order medications as needed
§ Prescribe, administer, and evaluate pharmacotherapeutics and non- pharmacotherapeutics regimens; aid and counsel patients in maximizing their abilities to cope with states of health and illness
02/2012 until 06/2012 – Unemployed (Travelling Vacation) Physician Assistant GS 12 - CBOC - La Grande, OR 2/2010 – 2/2012 Jonathan Wainwright Memorial Veterans Affairs 40 Hr / Wk 77 Wainwright Drive Walla Walla, WA 99362
HR: 509-***-****
Supervisor: Pat Smart, ARNP ***.*****@**.*** 509-***-**** wkcell Delwyn Baker, MD 509-***-**** ******.*****@**.*** You may contact Job description summary: Provide primary care medicine to a panel of 850 adult patients 3 days per week & Home Based Primary Care to panel of 105 patients (mostly geriatric) two days per week:
• Perform initial and ongoing medical evaluation of patients; including history, physical examinations and mental status exams.
• Prescribe, administer, and evaluate pharmacotherapeutics and non- pharmacotherapeutics regimens; aid and counsel patients in maximizing their abilities to cope with states of health and illness
• Monitor medications to adjust them when changes in symptoms and/or side effects are present
• Review patient histories and determine the likelihood of successful self-medication or adherence to treatment plans; generate reports on those capabilities and any concerns
• Document substance abuse issues and refer patients for treatment
• Follow up on patient treatment and monitor their progress through documented treatment plans; providing written and verbal assessments to supervisory physicians in charge
• Helped open two new rural Tele-health clinics in Boardman and Enterprise Oregon; which included multiple public speaking events marketing the clinic to the community; writing Standard Operation Procedures manual
• Provide urgent care to walk-in patients
• Promoting the veteran's maximum level of health and independence by providing comprehensive care and optimizing physical, cognitive, and psychosocial function
• Reduced the need for, and providing an acceptable alternative to, hospitalization, nursing home care, emergency department and outpatient clinic visits, through longitudinal care that provides close monitoring, early intervention, and a therapeutic safe home environment
• Assisting in the transition from a health care facility to the home by providing patient and caregiver education, guiding rehabilitation and use of adaptive equipment in the home, DANIEL NALEPKA, PA-C, SSN: xxx-xx-2843 Page 7
adapting the home as needed for a safe and therapeutic environment, and arranging and coordinating supportive services including home Tele-health, as appropriate
• Meeting the changing needs and preferences of the veteran and family throughout the course of chronic disease, often through the end of life
• Enhancing the veteran's quality of life through symptom management and other comfort measures.
• Demonstrated clinical competencies in such areas as age-specific care, cultural assessment, and health education.
• Participate in the development and periodic review of the local HBPC Policy and Procedure Manual.
10/2009 until 02/2010 – Unemployed (Travelling Vacation) Madigan Army Medical Center – Ft. Lewis 10/2005 – 10/2009
(4 Yr. GWOT Term) 40 Hr / Wk
Civilian Personnel Advisory Center Fort Lewis (HR)
2015 Pendleton & N. 4th St
Box 339500 MS 37 - Building #2015
Tacoma, WA 98433-9500
Supervisor: Thomas Harper, MD 253-***-**** ******.******@**.****.*** You may contact
LTC Michael Oshiki, MD 253-***-**** *******.******@**.****.*** Physicians Assistant GS-11: Provide primary care medicine to a patient population of varied ages, including soldiers, retired military, and dependents covered under TRICARE working in multiple clinics in both the hospital and outlying settings; document all activities and visits in AHLTA.
Other Responsibilities:
§ Serve as PCM – Warrior Transition Unit (Task Force Phoenix, 01/2008 – 10/2008 - Familiar w/ AMEDD WTU Consolidated Guidance for Soldiers qualified as a Warrior in Transition (e.g. facilitate care for patients, including completing the initial clinical evaluation, master problem list, and preliminary treatment plan within 3 days of assignment or attachment to the WTU for a population of approximately 250 soldiers; Initiate line of duty (DA Form 2173, Statement of Medical Examination and Duty Status) and Physical Profile (DA Form 3349)
§ Coordinate care with specialty providers, including licensed behavioral specialists, and monitor patients, document changes in treatment or condition and provide daily management of primary care needs; and/or select soldiers for referral to Community Based Health Care Organizations (CBHCO)
§ Communicate verbally and in writing with staff to relay treatment plans and collaborate with NCM’s, CSW’s and Command elements from the Squad Leaders, Platoon SGT’s, 1st SGT, & CO to review complex cases; leading WTU “TRIAD” meetings on a weekly basis
DANIEL NALEPKA, PA-C, SSN: xxx-xx-2843 Page 8
§ Administrate daily care and monitoring of multiple complex patients, including soldiers with Traumatic Brain Injury (TBI), Post Traumatic Stress Disorder (PTSD) and Chronic Pain
§ Help evaluate medical and facility needs and develop policies and procedures as well as metrics in coordination with the US Surgeon General as part of the OTSG Lean Six Sigma Team. Conduct quality assurance inspections and review and ensure WTU compliance with the Army Medical Action Plan: Access to Care Standards
§ Completed several TDY assignments, including Ft. Greely, AK (BAS/Sick Call & PCM Family 49th Missile Defense Bn) Ft. Richardson, AK (Pre-Deployment Health Assessments 4-25IN), Ft. Wainwright, AK (Post-Deployment Assessments 172nd IN), Camp Williams, UT (Post-Deployment Assessments 19th Special Forces Group) and Ft. Irwin, CA (BAS/Sick Call & PCM 11th ACR)
§ Evaluated BAS/Sick Call Triaging procedures for the Okubo Clinic (5-2 IN), Walker Clinic
(11th ACR), WTU (Task Force Phoenix – Ft. Lewis) and the Nisqually Clinic (17th Fires Bde) and implemented streamlining processes to improve efficiency and effectiveness of care provision.
§ Train medics (68W) in healthcare delivery, including taking history and performing physicals; provided guidance on documentation of care
§ Maintain individual soldier preparedness during Pre & Post deployment assessments at the SRP site, helping process over 40K soldiers per year; provided reports on general health readiness per Army Regulations for appendage to personnel files
§ Evaluate post-deployment health, mental health and/or psychosocial issues commonly associated with deployments, special medications taken during the deployment, possible deployment-related occupational/environmental exposures, and discuss deployment-related health concerns
§ Provide Family Primary care to soldier’s families including Urgent Care, Women’s Health and Pediatrics.
08/2005 until 10/2005 – Unemployed (Travelling Vacation) Madigan Army Medical Center (CompHealth Temp Staff) 05/2005 – 08/2005 Tacoma, WA 98431 40 Hr / Wk
Supervisor: MAJ McNulty – OIC 253-***-****
LTC Crossland, MD #UNK
CompHealth - PO Box 57915 Salt Lake City, UT 84157-0915, Joe Jackson (PA representative) 800-***-****
You may contact
Physician Assistant (Locum Tenen) - Primary Care Medicine: Provide sick call and acute care to ROTC cadets during Warrior Forge 2004. Coordinated with ROTC/OCS cadets and professional supportive personnel and provided patient care including addressing emergencies, patient discomfort and ongoing treatment plans. Other Responsibilities:
DANIEL NALEPKA, PA-C, SSN: xxx-xx-2843 Page 9
§ Order and interpret laboratory, radiological and diagnostic tests; initiate consultations and order medications as needed
§ Prescribe, administer, and evaluate pharmacotherapeutics and non- pharmacotherapeutic regimens; aid and counsel patients in maximizing their abilities to cope with states of health and illness
11/2004 until 05/2005 – Unemployed (Travelling Vacation) Dept. of Veterans Affairs (CompHealth Temp Staff) 05/2004 – 11/2004 American Lake Division VA – Tacoma, WA 98493 40 Hr/Wk Supervisor: Bruce Buchanan, MD 253-***-**** ext. 71127 or ext. 71157, *****.*********@***.**.*** CompHealth Temp Staffing – PO Box 713100 Salt Lake City, UT 84171-3100)
Emily Crane *******@**********.*** or Joe Jackson (PA representative) 800-***-**** You may contact
Physician Assistant (Locum Tenen) - Primary Care Medicine: Assess, diagnose, treat, and evaluate care that promotes wellness and prevents disease; develop outcome benchmarks and evaluate the degree and effectiveness of care. Conduct initial H & P’s.
§ Apply current techniques, methodologies and concepts from research and experience to patient treatment and care; document actions and results and share results or findings with other medical professionals for feedback and guidance 02/2004 until 05/2004 – Unemployed (Travelling Vacation) FROST’D (Foundation for Research on STD’s – now dba Harlem United) 10/2001 – 02/2004
224 West 30th Street #901 New York, NY 10001 60
Hr/Wk
Exec. Director, Josh Sippen, 212-***-****
Supervising Physician – Joyce Wallace, M.D. 212-***-**** hm 917-***-**** cell, *********@***.***
You may contact
Physician Assistant & Program Director: Demonstrated ability to manage and supervise the day-to-day operations of “The Night Works Project,” an Article 28 mobile medical clinic with a staff of four individuals who provide street-based outreach services, including food, social service case management, counseling, testing, referral, and primary care medicine to the homeless, sex workers, and IV drug users at night.
• Directed, supervised, provided oversight, and created quality assurance measures for three separate contracts with diverse funding stream regulations, including Federal
(CDC), State (OASAS), and City (MHRA) agencies. Combined budgets 1.3 Million
• Wrote monthly, quarterly, and yearly reports. Wrote and negotiated scope of services and budget contract modifications. Wrote renewal and new grant proposals for two separate $500,000 contracts
DANIEL NALEPKA, PA-C, SSN: xxx-xx-2843 Page 10
• Reviewed daily reports, documents, records, and other materials to verify completeness and accuracy
• Provided primary care, psychiatric/substance abuse, and HIV medicine to a population of adult patients. Disease presentations were concomitant with intravenous drug use and poverty, including the management of a significant number of HIV+ patients
• Formulated both primary care and psychiatric diagnoses and supervised the continuous management of diseases and disorders, including ordering tests, prescribing and administering medication, and the writing of reports describing treatment
• Helped generate and design statistical analysis of process and outcome measurements for a cross-site evaluation conducted by the CDC
• Demonstrated combination of medical, psychiatric, and social work knowledge and skills as related to public health education and community organization
• Assign and review work of subordinates, train and work effectively with subordinates from a variety of backgrounds and with different levels/areas of training – including planning, assigning, and reviewing work, and evaluating performance. Also hire, terminate, supervise and schedule staff
Martin’s Point Health Care (CompHealth Temp Staff) 08/2001 – 10/2001 6 Farley Road Brunswick, ME 04011 40 Hr/Wk
& 331 Veranda Street PO Box 9746 Portland ME 04104 800-***-**** CompHealth - PO Box 57915 Salt Lake City, UT 84157-0915, Emily Crane (PA representative) 800. 634.9583, Direct Supervising Physician – Roy Nakamura, MD 800-***-**** wk You may contact
Physician Assistant (Locum Tenen) - Primary Care Medicine: Provided pediatric and family primary care medicine to a diverse population of patients, including military dependents covered under TRICARE, the Uniformed Services Family Plan, (USFHP) and multiple managed care plans.
• Troubleshoot patient problems and provide resolution to them in a timely manner as possible; analyze patient history and condition to ensure the most effective treatment necessary
Addiction Research & Treatment Corp., – (Kaleidoscope Clinic) 08/1999 – 05/2001 22 Chapel Street, Brooklyn, NY 11201 718-***-****-HR 40 Hr/Wk Supervisor– Ewa Janusz-Berezowska, MD 917-***-**** $62,000 PA Physician Assistant (Interim Clinic Medical Director): Provided Primary medicine in conjunction with Methadone maintenance – with high percentage of patients HIV and Hep C positive. Reviewed patient histories and determine the likelihood of abuse, diversion, & self-medication or non-compliance with treatment plans: Utilize MAST, CAGE, AUDIT-C and CIWA to provide treatment to patients. Documented substance abuse issues, created pain treatment plans utilizing pain contracts and referred patients for specialty psychiatric treatment. Follow up on patient treatment and monitor their progress through multidisciplinary treatment programs. DANIEL NALEPKA, PA-C, SSN: xxx-xx-2843 Page 11
§ Initiate and participate in interdisciplinary methods of measuring productivity (in light of regulatory, funding, and treatment guidelines); develop health policy as needed; Chairperson of Ad Hoc Committee (Productivity & Orientation); Member of CME
(Continuing Medical Education) Committee
§ Participated in the design, conduct, monitoring, recording, and analysis of HIV clinical research trials, including standards of “Good Clinical Practice” and “Adverse Event” reporting
OTHER WORK EXPERIENCE:
03/1999 – 06/1999, St. Barnabas Hospital – (Rikers Island Correctional Facility), New York, NY, Physician Assistant
09/1986 – 06/1995, Freelance Production Assistant & Assistant Director Film & Video Production, Directors Guild of America 1st Assistant Director
EDUCATION
State University of New York (SUNY-Downstate), Brooklyn, NY B.S., Health Science – CAAHEP & NCCPA PA Certification (3.18/4.00 GPA), September 1998 Forty-four weeks of Clinical Rotations, 1998
Primary Care Winslow Indian Health Center, Navajo IHS Medicine Beth Israel Hospital, NYC
Elective Infectious Disease – Beth Israel/Peter Krueger AIDS Clinic OB/Gyn Kings County Medical Center, Brooklyn
Emergency Med Brookdale Hospital, Brooklyn
Pediatrics Wyckoff Medical Center/Flushing Hospital, Brooklyn Surgery Interfaith Hospital, Brooklyn
Geriatrics Kingsbrook Jewish Medical Center, Brooklyn Psychiatry SUNY Hospital, Brooklyn
Vassar College, Poughkeepsie, NY Certificate – Exploring Transfer Program, August 1994 Borough of Manhattan Community College – CUNY, New York, NY AA Liberal Arts, (Honors Graduate - President Phi Theta Kappa – 3.95/4.00 GPA), June 1995 LICENSES
§ Certified Physician Assistant, NCCPA #1039340 (exp 12/31/21)
§ DEA #MN4952429 (exp 10/31/2021)
§ NPI #171*******
§ DOT NRCME # 371-***-****
§ Registered PA – MI State #560******* (exp 11/15/2021)
§ Michigan Controlled Substance License #531-***-**** (exp 8/31/19)
§ Registered PA – NY State #006596 (exp 9/30/2022)
§ Registered PA – FL State # 9107811 (exp 1/31/2022)
§ ACLS (exp – 10/2021) & BLS (exp 10/2021)
DANIEL NALEPKA, PA-C, SSN: xxx-xx-2843 Page 12
§ PALS (exp – 9/2020) & ATLS (exp 9/14/2022)
§ Merchant Mariner Ref# 3427976 – STCW VI/1;VI/4 (exp 06/14/17) Medical Person in Charge
§ DEA #MN4160949 (exp 10/31/2019) & # MN0750427 (expired 10/31/2004) & MN2127101 (expired when left VA)
§ Registered PA – ME State #PA-737 (expired)
§ Emergency Medical Technician – NY State # 206253 (expired)
§ 1st Assistant Director – Directors Guild of America (current)
§ OSHA 30 Hr - General Industry Occupational Safety & Health Training
§ Hazwopper 24 Hr - Hazardous Waste Operations & Emergency Response
§ DATA 2000 8-hour MAT “X Waiver” Training completed
§ DATA 2000 16-hour MAT “X Waiver” Training (Need