December N Pennekamp, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0035176 Issued in OH

Practice address

5403 N Bend Rd
Cincinnati, OH 45247-7620

Phone

(513) 853-9700

Fax

(513) 852-8969

NPI assigned

Oct 23, 2023

Last updated

May 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH, AK, WA3 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 3

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Seward Community Health Center IncGroup PAC ID 6800025768, 13 clinicians

CG Medical Associates IncGroup PAC ID 6608052196, 171 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Seward Hospital Hospital, Seward, AK, CCN 021302

Merit-based Incentive Payment System (MIPS)

Final score

86.78 of 100Reported as group

Quality

71.59

Promoting interoperability

100

Improvement activities

40

Cost

84.34

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

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.

• CG Medical Associates Inc

  • Urgent Care Clinic/Center
  • Cincinnati, OH
  • NPI 1982903951
  Medicare reassignment Care Compare group NPD
• Seward Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Seward, AK
  • NPI 1356772024
  Medicare reassignment Care Compare group NPD
• The Little Clinic of Ohio LLC

  • Family Nurse Practitioner
  • Cincinnati, OH
  • NPI 1982761896
  Medicare reassignment NPD
• Trihealth U LLC

  dba TriHealth at Walgreens

  • Community Health Clinic/Center
  • Cincinnati, OH
  • NPI 1528605177
  Medicare reassignment NPD
• Family Health Centers

  • Federally Qualified Health Center (FQHC)
  • Okanogan, WA
  • NPI 1609804392
  Medicare reassignment

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

• City of Seward

  dba Providence Seward Medical Center

  • Critical Access Hospital
  • Seward, AK
  • NPI 1396858155
  Care Compare affiliation

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1417729583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5403 N BEND RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452477620",
            "telephone_number": "513-853-9700",
            "fax_number": "513-852-8969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5403 N BEND RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452477620",
            "telephone_number": "513-853-9700",
            "fax_number": "513-852-8969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4130 Dry Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452521914",
            "country_code": "US",
            "telephone_number": "513-490-2365",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8000 princeton glendale road",
            "address_purpose": "LOCATION",
            "city": "west chester township",
            "state": "OH",
            "postal_code": "45069",
            "country_code": "US",
            "telephone_number": "513-682-8045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENNEKAMP",
        "first_name": "DECEMBER",
        "middle_name": "N",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-23",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0035176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arnold R. Penix, M.D.
• Elizabeth Rosemarie Penman
• Srilakshmi Penmetsa
• Cierra M Penn
• Alexander Mark Pennekamp, DO
• Morgan Andrea Pennekamp, APRN
• Christine Michael Pennesi, MD
• Courtney J Penney, M.A., CCC-SLP
• Deborah Pennington
• Destiny Pennington

• Family Nurse Practitioner in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.