Individual provider Active NPI

Renee Elise Pence

  • Primary Care Nurse Practitioner
  • Anthony, KS
National Provider Identifier
1174329189
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
53-82857-071 Issued in KS
Practice address
485 N KS Hwy 2
Anthony, KS 67003-2526
Phone
(620) 912-1200
NPI assigned
Feb 20, 2025
Last updated
May 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 53-82857-071 KS Primary

Addresses

Primary practice location

485 N KS Hwy 2
Anthony, KS 67003-2526

Mailing address

833 NE 60 Ave
Danville, KS 67036-8700
Phone (316) 648-7632

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rpencephc@pahc.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20250613002330 KS Practitioner - Nurse Practitioner 4284145566 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

212 N 5TH Ave
Anthony Community Care Ctr
Anthony, KS 67003-2106
Phone (620) 842-5187

485 N KS Hwy 2
Anthony, KS 67003-2526

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-82857-071KSMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital District No 6 of Harper County Kansas CurrentSince Apr 1, 2025 Accepting new patients
Hospital District No 6 of Harper County, Kansas CurrentSince Apr 1, 2025 Accepting new patients

Locations

485 N KS Hwy 2
Anthony, KS 67003
Phone (620) 914-1200

Interoperability endpoints

  • Direct secure messaging: rpencephc@pahc.cernerdirect.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1174329189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 NE 60 AVE",
            "city": "DANVILLE",
            "state": "KS",
            "postal_code": "670368700",
            "telephone_number": "316-648-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 N KS HWY 2",
            "city": "ANTHONY",
            "state": "KS",
            "postal_code": "670032526",
            "telephone_number": "620-912-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENCE",
        "first_name": "RENEE",
        "middle_name": "ELISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KS",
            "license": "53-82857-071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rpencephc@pahc.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "485 N Ks Hwy 2",
            "city": "Anthony",
            "state": "KS",
            "country_code": "US",
            "postal_code": "670032526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anthony, KS

Sources for this page

Verify at the official NPI Registry.