Active NPI
Penny Penland Stollery, ANP-C
- Adult Health Nurse Practitioner
- Elmira, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 312296
- Practice address
- 600 Roe Ave
Elmira, NY 14905-1676 - Phone
- (607) 737-8165
- Fax
- (607) 737-8175
- NPI assigned
- Oct 31, 2006
- Last updated
- Jun 16, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5002050 | NC | |
| Nurse Practitioner | 363L00000X | 312296 | NY | |
| Adult Health Nurse Practitioner | 363LA2200X | 5015712 | NC | |
| Adult Health Nurse Practitioner | 363LA2200X | 312296 | NY | Primary |
Addresses
Primary practice location
600 Roe Ave
Elmira, NY 14905-1676
Mailing address
600 Ivy St Ste 206
Elmira, NY 14905-1627
Phone (607) 271-2050
Other practice location 1
571 S Allen Rd
Flat Rock, NC 28731-9447
Phone (828) 692-6178
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pstollery@fourseasonscfl.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
101 Dates Dr
Ithaca, NY 14850-1342
Phone (607) 274-4443
600 Roe Ave
Elmira, NY 14905-1629
Phone 60773741004118
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 312296 | NY | MD | Internal Medicine Physician |
| 5002050 | NC | MD | Nurse Practitioner |
| 5015712 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arnot Ogden Medical Center | Current | Accepting new patients | |
| Cayuga Medical Center at Ithaca | Current | Accepting new patients | |
| Cayuga Pathology PLLC | Current | Accepting new patients | |
| Cayuga Medical Center at Ithaca | Current | Accepting new patients | |
| Arnot Ogden Medical Center | Current | Accepting new patients | |
| Cancer Care of WNC | Past | Accepting new patients | |
| Cayuga Medical Center at Ithaca | Past | Accepting new patients | |
| Cancer Care of WNC, PA | Past | Accepting new patients | |
| Arnot Medical Services PLLC | Past | Accepting new patients |
Locations
600 Roe Ave
Elmira, NY 14905
Phone (607) 733-3639
600 Roe Ave
Ste 1F
Elmira, NY 14905
Phone (607) 795-8161
101 Harris B Dates Dr
Ithaca, NY 14850
Phone (607) 274-4011
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Elmira, NY
- NPI 1083605661
-
dba Cayuga Medical Center
- General Acute Care Hospital
- Ithaca, NY
- NPI 1164547303
-
- Community/Retail Pharmacy
- Elmira, NY
- NPI 1831875004
-
dba Cayuga Employee Pharmacy
- Specialty Pharmacy
- Ithaca, NY
- NPI 1730596131
-
dba Excelsior Pathology
- Anatomic Pathology & Clinical Pathology Physician
- Ithica, NY
- NPI 1427625508
-
- Internal Medicine Physician
- Elmira, NY
- NPI 1427326768
-
- Rehabilitation Hospital Unit
- Ithaca, NY
- NPI 1366519795
-
- Hematology & Oncology Physician
- Asheville, NC
- NPI 1326038258
-
- Hematology & Oncology Physician
- Marion, NC
- NPI 1417384322
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elmira, NY
- NPI 1083605661
-
- General Acute Care Hospital
- Ithaca, NY
- NPI 1962422733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750032000000",
"number": "1033295100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 IVY ST STE 206",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149051627",
"telephone_number": "607-271-2050",
"fax_number": "607-271-2071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 ROE AVE",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149051676",
"telephone_number": "607-737-8165",
"fax_number": "607-737-8175"
}
],
"practiceLocations": [
{
"address_1": "571 S Allen Rd",
"address_purpose": "LOCATION",
"city": "Flat Rock",
"state": "NC",
"postal_code": "287319447",
"country_code": "US",
"telephone_number": "828-692-6178",
"fax_number": "828-692-2365",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STOLLERY",
"first_name": "PENNY",
"middle_name": "PENLAND",
"name_prefix": "Mrs.",
"credential": "ANP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5002050",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "312296",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NC",
"license": "5015712",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "312296",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pstollery@fourseasonscfl.org",
"affiliation": "N",
"address_1": "571 S Allen Rd",
"city": "Flat Rock",
"state": "NC",
"country_code": "US",
"postal_code": "287319447",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Elmira, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.