Jennifer Johanna Penne, APN in Fayetteville, AR

Jennifer Johanna Penne, APN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Fayetteville, Arkansas. She went to University Of Missouri, Columbia School Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Reding And Leach Md Pllc and her current practice location is 2566 E Joyce Blvd, Fayetteville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 935-1000.

Jennifer Johanna Penne is licensed to practice in Arkansas (license number A003632) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1497968101.

Contact Information

	Jennifer Johanna Penne, APN
	2566 E Joyce Blvd, Fayetteville, AR 72703-4553
	(479) 935-1000
	(479) 935-2000

Map and Direction

Provider's Profile

Full Name	Jennifer Johanna Penne
Gender	Female
Speciality	Nurse Practitioner
Experience	15 Years
Location	2566 E Joyce Blvd, Fayetteville, Arkansas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jennifer Johanna Penne attended and graduated from University Of Missouri, Columbia School Of Medicine in 2009

NPI Data:

NPI Number: 1497968101
Provider Enumeration Date: 05/08/2007
Last Update Date: 09/19/2022

Medicare PECOS Information:

PECOS PAC ID: 9133383557
Enrollment ID: I20120615000304

Medical Identifiers

Medical identifiers for Jennifer Johanna Penne such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497968101	NPI	-	NPPES
193306758	Medicaid	AR
420094195	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	R 72401 (Arkansas)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	2021008266 (Missouri)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	A003632 (Arkansas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Reding And Leach Md Pllc	7012258627	32

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jennifer Johanna Penne allows following entities to bill medicare on her behalf.

Entity Name	Reding & Leach Md Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245723584 PECOS PAC ID: 7012258627 Enrollment ID: O20190409001382

Entity Name	Honour Brite Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548760820 PECOS PAC ID: 3971864588 Enrollment ID: O20201221002836

Entity Name	University Of Arkansas For Medical Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134879208 PECOS PAC ID: 4082528955 Enrollment ID: O20220621002780

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Johanna Penne is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jennifer Johanna Penne, APN 2566 E Joyce Blvd, Fayetteville, AR 72703-4553 Ph: (479) 935-1000	Jennifer Johanna Penne, APN 2566 E Joyce Blvd, Fayetteville, AR 72703-4553 Ph: (479) 935-1000

Reviews and Comments

Nurse Practitioner Nurses in Fayetteville, AR

Michele L Griffin, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 641-780-8696
Durinda Pena, A.P.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3232 N North Hills Blvd., Fayetteville, AR 72703 Phone: 479-587-1700 Fax: 479-587-1366
Mrs. Diane H. Morrow, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2630 E Citizens Dr Ste 13, Fayetteville, AR 72703 Phone: 479-571-6000
Colby Hines, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 479-443-4301
Elizabeth Ann-grace Burns, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3344 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-521-8200 Fax: 479-582-7329
Julia Marsh, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 180 E Sunbridge Dr, Fayetteville, AR 72703 Phone: 479-587-5805 Fax: 479-659-7930
Miss Sarah Anne Campbell, DNP, AGAC-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3211 N Northhills Blvd, Fayetteville, AR 72703 Phone: 479-463-8740

Jennifer Johanna Penne, APN - Medicare Nurse Practitioner in Fayetteville, AR