Individual provider Active NPI

Heath Penny, CRNA

  • Specialist
  • Fremont, NE
National Provider Identifier
1295804714
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
100904 Issued in NE
Practice address
300 E 23Rd St
Fremont, NE 68025-2302
Phone
(402) 727-7990
Fax
(402) 727-1761
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 100904 NE Primary

Addresses

Primary practice location

300 E 23Rd St
Fremont, NE 68025-2302

Mailing address

1040 N Bell St.
Fremont, NE 68025-4347
Phone (402) 727-7990

Other identifiers 1

IdentifierTypeStateIssuer
911765978-15MedicaidNE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050224000406 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 7911950407 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fillmore County HospitalGroup PAC ID 9638144942, shared by 3 NPIs, 20 clinicians

Practice addresses (Care Compare)

1900 F St
Geneva, NE 68361-2229
Phone (402) 759-3167

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100904NEMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson County Hospital CurrentSince Oct 1, 2025 Accepting new patients
York General Hospital CurrentSince Jan 14, 2026 Accepting new patients
York General Hospital CurrentSince Jan 1, 2026 Accepting new patients
Johnson County Hospital CurrentSince Oct 1, 2025 Accepting new patients
Johnson County Hospital CurrentSince Oct 1, 2025 Accepting new patients
Fillmore County Hospital CurrentSince Jul 1, 2015 Accepting new patients
Fillmore County Hospital CurrentSince Dec 1, 2024 Accepting new patients
York General Hospital CurrentSince Jan 1, 2026 Accepting new patients
Associated Anesthesiologists PC PastSince Feb 25, 2024 Accepting new patients

Locations

1900 F St
Geneva, NE 68361
Phone (402) 759-3167

1900 F St
#193
Geneva, NE 68361
Phone (402) 459-3167

202 High St
Tecumseh, NE 68450
Phone (402) 274-4373

2222 N Lincoln Ave
York, NE 68467
Phone (402) 362-0420

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330905600000",
    "number": "1295804714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 N BELL ST.",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680254347",
            "telephone_number": "402-727-7990",
            "fax_number": "402-727-1761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E 23RD ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252302",
            "telephone_number": "402-727-7990",
            "fax_number": "402-727-1761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNY",
        "first_name": "HEATH",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2012-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NE",
            "license": "100904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "911765978-15",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.