Individual provider Active NPI

Anita Marie Pennoyer

  • Home Health Aide
  • Mukwonago, WI
National Provider Identifier
1033079397
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
92-2759306 Issued in WI
Practice address
1556 Honeywell Rd
Mukwonago, WI 53149-9555
Phone
(262) 470-6930
NPI assigned
Nov 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 92-2759306 WI Primary

Addresses

Primary practice location

1556 Honeywell Rd
Mukwonago, WI 53149-9555

Mailing address

1556 Honeywell Rd
Mukwonago, WI 53149-9555
Phone (262) 470-6930

Other names 1

  • Doreen Ann Elsesser Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
92-2759306WIMDHome Health Aide

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1763337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1033079397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1556 HONEYWELL RD",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531499555",
            "telephone_number": "262-470-6930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1556 HONEYWELL RD",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531499555",
            "telephone_number": "262-470-6930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNOYER",
        "first_name": "ANITA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-17",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "WI",
            "license": "92-2759306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOREEN",
            "last_name": "ELSESSER",
            "middle_name": "ANN",
            "credential": "DOREEN ELSESSER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mukwonago, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.