Melissa R. Penkalski, DNP, APRN, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

127573 Issued in MO

Practice address

1033 E Walnut St
Springfield, MO 65806-2604

Phone

(417) 693-1797

NPI assigned

Jun 26, 2007

Last updated

Jul 18, 2025By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Lester E. Cox Medical Centers

  dba Southwest Spine & Sports

  • Physical Medicine & Rehabilitation Physician
  • Springfield, MO
  • NPI 1033291125
  NPD (past)

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1427254267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 E WALNUT ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658062604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 E WALNUT ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658062604",
            "telephone_number": "417-693-1797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1443 N Robberson Ave",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658023840",
            "country_code": "US",
            "telephone_number": "417-269-8061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENKALSKI",
        "first_name": "MELISSA",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MO",
            "license": "127573",
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "MO",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "425843315",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madhu Kalyan Pendurthi, MBBS MPH, MD
• Casarah Peng
• Danny R Penick, MD
• Julie A Penick, FNP
• James Thomas Penkalski, ATC
• Taylor M Penland, MSN, FPMHNP
• Raffaele Pennella, MD
• Christy Lou Penninger
• Sharon L Pennington, LPC
• Leah Peppard, PA

• Pediatric Nurse Practitioner in Springfield, MO
• Providers in Springfield, MO by specialty
• Pediatric Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.