David V Penry, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

002162 Issued in CT

Practice address

NP Resources, LLC.
Six Corporate Drive, Suite 420
Shelton, CT 06484

Phone

(203) 925-9600

Fax

(203) 926-0594

NPI assigned

May 27, 2005

Last updated

Sep 4, 2024By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT, OH, NC, AR4 enrollments

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 4

Specialty

Nurse Practitioner

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Venvisor Health of Ar PAGroup PAC ID 8022551647, 55 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Venvisor Health of Ar PA

  • Nurse Practitioner
  • Bentonville, AR
  • NPI 1992553028
  Medicare reassignment Care Compare group NPD Authorized official
• Venvisor Health of NC

  • Nurse Practitioner
  • Shelton, CT
  • NPI 1083484968

  NC

  Medicare reassignment NPD Authorized official
• Amber Horizon Longterm Care PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Shelton, CT
  • NPI 1619760659
  Medicare reassignment NPD
• Azure Haven Care PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Shelton, CT
  • NPI 1841083888
  Medicare reassignment NPD
• Birch Meadow Health PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Shelton, CT
  • NPI 1164215109
  Medicare reassignment NPD
• Cedar Woods Wellness PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Shelton, CT
  • NPI 1154114197
  Medicare reassignment NPD
• Chestnut Knoll Physicians Group PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Shelton, CT
  • NPI 1780477729
  Medicare reassignment NPD
• Copper Canyon Care PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Shelton, CT
  • NPI 1871386821
  Medicare reassignment NPD
• Lavender Grove Long Term Care PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Shelton, CT
  • NPI 1295528230
  Medicare reassignment NPD
• Onyx Sands Senior Care PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Shelton, CT
  • NPI 1194619163
  Medicare reassignment NPD
• Sage Hollow Health PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Shelton, CT
  • NPI 1003700071
  Medicare reassignment NPD
• Emerald Fern Wellness PC

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1134012545

  CT

  Medicare reassignment NPD

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1306849922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 NEWGATE RD",
            "city": "OXFORD",
            "state": "CT",
            "postal_code": "064781583",
            "telephone_number": "203-881-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NP RESOURCES, LLC.",
            "address_2": "SIX CORPORATE DRIVE, SUITE 420",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "06484",
            "telephone_number": "203-925-9600",
            "fax_number": "203-926-0594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENRY",
        "first_name": "DAVID",
        "middle_name": "V",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5019219",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "002162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004206828",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julianna Rose Pegnataro
• Ryan Pegolo, DC
• Pemberly Senior Health PC
• Susan Penque
• Penrose Senior Health PC
• Wilbur Jagoriles Perono
• Personic Connecticut PLLC
• Ashley Perugini
• Peter M. Ferrara, D.D.S., L.L.C
• Mary Beth Peterson, LMSW

• Family Nurse Practitioner in Shelton, CT
• Providers in Shelton, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.