Individual provider Active NPI

Penny J Skeen, FNP-C

  • Family Nurse Practitioner
  • Oxford, MS
National Provider Identifier
1447144365
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
907484 Issued in MS
Practice address
1204 Medical Park Dr
Oxford, MS 38655-5326
Phone
(662) 236-5717
NPI assigned
Jun 5, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 907484 MS Primary

Addresses

Primary practice location

1204 Medical Park Dr
Oxford, MS 38655-5326

Mailing address

401 Dusty TRL
Pontotoc, MS 38863-6329
Phone (662) 509-0218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8110 N Brother Blvd
Bartlett, TN 38133-2760

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
907484MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oxford Obstetrics & Gynecology Associates CurrentSince Jun 8, 2025 Accepting new patients
Memphis Obstetrics and Gynecological Association PC PastSince Jun 8, 2025 Accepting new patients
Friendship Medical Clinic, LLC PastSince May 2, 2014 Accepting new patients

Locations

1204 Medical Park Dr
Oxford, MS 38655
Phone (662) 236-5717

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DGAACA
  • Direct secure messaging: penny.skeen.1@16415.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/16415/brand/2/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1749081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1447144365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 DUSTY TRL",
            "city": "PONTOTOC",
            "state": "MS",
            "postal_code": "388636329",
            "telephone_number": "662-509-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 MEDICAL PARK DR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555326",
            "telephone_number": "662-236-5717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKEEN",
        "first_name": "PENNY",
        "middle_name": "J",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "907484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

Verify at the official NPI Registry.