Individual provider Active NPI

Penelope Anderson

  • Family Nurse Practitioner
  • Lufkin, TX
National Provider Identifier
1396439030
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1142321 Issued in TX
Practice address
1717 Sayers St
Lufkin, TX 75904-1137
Phone
(936) 560-5668
Fax
(936) 552-7240
NPI assigned
Jun 6, 2023
Last updated
Mar 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1142321 TX Primary
Nurse Practitioner 363L00000X 1142321 TX
Registered Nurse 163W00000X 786786 TX

Addresses

Primary practice location

1717 Sayers St
Lufkin, TX 75904-1137

Mailing address

3819 Shipman LN
Spring, TX 77388-5072
Phone (214) 949-3088

Other practice location 1

22999 US 59 Highway N
Kingwood, TX 77339
Phone (454) 260-0281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240503000910 TX Practitioner - Nurse Practitioner 7416397799 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of TX, PLLCGroup PAC ID 3375909351, 374 clinicians
Elite Hospital Partners, PLLCGroup PAC ID 2062941057, 60 clinicians

Practice addresses (Care Compare)

22999 Hwy 59 N
HCA Houston Kingwood
Kingwood, TX 77339-4412
Phone (281) 348-8000

500 N Highland Ave
Sherman, TX 75092-7354
Phone (903) 870-4611

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
786786TXMDRegistered Nurse
1142321TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of TX, PLLC CurrentSince Mar 31, 2024 Accepting new patients
East Texas Community Health Services, Inc. Family CurrentSince Mar 2, 2026 Accepting new patients
Elite Hospital Partners, PLLC CurrentSince Jul 15, 2025 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

1401 St Joseph Pkwy
Houston, TX 77002
Phone (713) 575-1000

22999 Highway 59 N
Kingwood, TX 77339
Phone (281) 348-3322

1309 S University Dr
Nacogdoches, TX 75961
Phone (936) 560-5668

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

500 N Highland Ave
Sherman, TX 75092
Phone (903) 870-4494

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

Organizations & group practices 4

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 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": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1396439030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3819 SHIPMAN LN",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773885072",
            "telephone_number": "214-949-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 SAYERS ST",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759041137",
            "telephone_number": "936-560-5668",
            "fax_number": "936-552-7240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22999 US 59 Highway N",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "TX",
            "postal_code": "77339",
            "country_code": "US",
            "telephone_number": "454-260-0281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "PENELOPE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-06",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1142321",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1142321",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "786786",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.