Individual provider Active NPI

Penny A Dunning- Newell, APRN FNP BC

  • Family Nurse Practitioner
  • Gravois Mills, MO
National Provider Identifier
1194758987
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
089531 Issued in MO
Practice address
401 N Main St
Gravois Mills, MO 65037-6253
Phone
(877) 406-2662
Fax
(573) 207-2773
NPI assigned
Jul 8, 2006
Last updated
Sep 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 089531 MO Primary

Addresses

Primary practice location

401 N Main St
Gravois Mills, MO 65037-6253

Mailing address

PO Box 777
Richland, MO 65556-0777
Phone (877) 406-2662

Other practice location 1

811 S Business Highway 13 Ste A
Lexington, MO 64067-1572
Phone (877) 344-3572

Other practice location 2

608 Missouri St
Waverly, MO 64096-8241
Phone (877) 344-3572

Other practice location 3

7900 Lees Summit Rd
Kansas City, MO 64139-1236
Phone (816) 404-8557

Other practice location 4

324 S Hudson St
Buckner, MO 64016-8142
Phone (877) 344-3572

Other practice location 5

300 E 9th St
Carrollton, MO 64633-2341
Phone (877) 344-3572

Other practice location 6

206 N Bismark St Ste A
Concordia, MO 64020-8101
Phone (877) 344-3572

Other identifiers 5

IdentifierTypeStateIssuer
30034029OtherMOBC/BS CROSS OVER MEDICARE
428893804MedicaidMO
326800OtherMOFAMILY HEALTH PARTNERS
323440OtherMOFIRST GUARD
C168373OtherMOMEDICARE B WHEATLANDS

Other names 1

  • Penny A Harm Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20040920000952 MO Practitioner - Nurse Practitioner 3375511181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richland Medical Center, Inc.Group PAC ID 2062554025, 29 clinicians

Practice addresses (Care Compare)

304 W Washington Ave
Richland, MO 65556-7101
Phone (573) 836-7053

3870 Columbia Ave
Osage Beach, MO 65065-8689
Phone (877) 406-2662

401 N Main St
Gravois Mills, MO 65037-6253
Phone (877) 406-2662

931 Hwy D
Osage Beach, MO 65065-3169
Phone (877) 406-2661

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Richland Medical Center, Inc. Current Accepting new patients
Richland Medical Center, Inc. Past Accepting new patients
Truman Medical Center, Incorporated Past Accepting new patients

Locations

3870 Columbia Ave
Osage Beach, MO 65065
Phone (573) 302-7490

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1194758987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 777",
            "city": "RICHLAND",
            "state": "MO",
            "postal_code": "655560777",
            "telephone_number": "877-406-2662",
            "fax_number": "573-207-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N MAIN ST",
            "city": "GRAVOIS MILLS",
            "state": "MO",
            "postal_code": "650376253",
            "telephone_number": "877-406-2662",
            "fax_number": "573-207-2773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "811 S Business Highway 13 Ste A",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "MO",
            "postal_code": "640671572",
            "country_code": "US",
            "telephone_number": "877-344-3572",
            "fax_number": "866-288-4492",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "608 Missouri St",
            "address_purpose": "LOCATION",
            "city": "Waverly",
            "state": "MO",
            "postal_code": "640968241",
            "country_code": "US",
            "telephone_number": "877-344-3572",
            "fax_number": "866-288-4492",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7900 Lees Summit Rd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641391236",
            "country_code": "US",
            "telephone_number": "816-404-8557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "324 S Hudson St",
            "address_purpose": "LOCATION",
            "city": "Buckner",
            "state": "MO",
            "postal_code": "640168142",
            "country_code": "US",
            "telephone_number": "877-344-3572",
            "fax_number": "866-288-4492",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 E 9th St",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "MO",
            "postal_code": "646332341",
            "country_code": "US",
            "telephone_number": "877-344-3572",
            "fax_number": "866-288-4492",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206 N Bismark St Ste A",
            "address_purpose": "LOCATION",
            "city": "Concordia",
            "state": "MO",
            "postal_code": "640208101",
            "country_code": "US",
            "telephone_number": "877-344-3572",
            "fax_number": "866-288-4492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNNING- NEWELL",
        "first_name": "PENNY",
        "middle_name": "A",
        "credential": "APRN FNP BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "089531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS CROSS OVER MEDICARE",
            "identifier": "30034029",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "428893804",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY HEALTH PARTNERS",
            "identifier": "326800",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST GUARD",
            "identifier": "323440",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B WHEATLANDS",
            "identifier": "C168373",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PENNY",
            "last_name": "HARM",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gravois Mills, MO

Sources for this page

Verify at the official NPI Registry.