Jeffrey Penny

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.020093 Issued in OH

Practice address

8290 Old Troy Pike Ste 40a
Huber Heights, OH 45424

Phone

(937) 208-4100

Fax

(937) 208-4107

NPI assigned

Jul 20, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Ohio Medical University, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Health Urgent Care, Inc.Group PAC ID 3870848088, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Upper Valley Medical Center Hospital, Troy, OH, CCN 360174

Merit-based Incentive Payment System (MIPS)

Final score

88.63 of 100Reported as group

Quality

79.22

Promoting interoperability

100

Improvement activities

40

Cost

82.87

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Premier Health Urgent Care, Inc.

  • Urgent Care Clinic/Center
  • Dayton, OH
  • NPI 1134633761
  Medicare reassignment Care Compare group NPD
• Emergency Professional Services, Inc.

  • Emergency Medicine Physician
  • Seaman, OH
  • NPI 1093762353

  Family

  Medicare reassignment NPD
• Mvhe Inc

  • Family Medicine Physician
  • Moraine, OH
  • NPI 1659504785
  Medicare reassignment NPD
• Mvhe Inc

  • Internal Medicine Physician
  • Middletown, OH
  • NPI 1497154827
  NPD
• Mvhe, Inc

  • Hospitalist Physician
  • Middletown, OH
  • NPI 1023459401
  NPD
• Uvpc Specialists Inc.

  • Surgery Physician
  • Troy, OH
  • NPI 1831115492
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Upper Valley Medical Center

  • General Acute Care Hospital
  • Troy, OH
  • NPI 1184638942
  Care Compare affiliation

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1124471545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 KETTERING BLVD BLDG B3",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391924",
            "telephone_number": "937-991-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8290 OLD TROY PIKE STE 40A",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "45424",
            "telephone_number": "937-208-4100",
            "fax_number": "937-208-4107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2222 Philadelphia Dr",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454061813",
            "country_code": "US",
            "telephone_number": "937-734-2612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6700 Commerce Center Dr",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454142672",
            "country_code": "US",
            "telephone_number": "937-208-6875",
            "fax_number": "937-208-6878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1130 S Main St",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "OH",
            "postal_code": "453222819",
            "country_code": "US",
            "telephone_number": "937-208-6879",
            "fax_number": "937-208-6886",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1843 W Main St",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "OH",
            "postal_code": "453732303",
            "country_code": "US",
            "telephone_number": "937-208-4120",
            "fax_number": "937-208-4126",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8 Prestige Plaza Dr Ste 107",
            "address_purpose": "LOCATION",
            "city": "Miamisburg",
            "state": "OH",
            "postal_code": "453427304",
            "country_code": "US",
            "telephone_number": "937-208-6871",
            "fax_number": "937-208-6874",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "752 N Main St",
            "address_purpose": "LOCATION",
            "city": "Springboro",
            "state": "OH",
            "postal_code": "450668944",
            "country_code": "US",
            "telephone_number": "937-208-6865",
            "fax_number": "937-208-6868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENNY",
        "first_name": "JEFFREY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-20",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.020093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pelphreys Pharmacy LLC
• Peltier Family Chiropractic LLC
• Kelly Ann Peltier, MA CCC-SLP
• William B Peltier, D.C.
• Pendster Dialysis LLC
• Perspective Home Care, LLC
• Jodi Petyak, M.S. CCC/SLP
• Mary Elaine Phillips, R.N.
• Physician Sleep Diagnostic Centers North LLC
• Mallon Catherine Pittman

• Family Nurse Practitioner in Huber Heights, OH
• Providers in Huber Heights, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.

Verify at the official NPI Registry.