Individual provider Active NPI

Nyree M Penn, AA-C

  • Anesthesiologist Assistant
  • Myrtle Beach, SC
National Provider Identifier
1447586110
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
License
AA264 Issued in FL
Practice address
809 82ND Pkwy
Grand Strand Regional Medical Center
Myrtle Beach, SC 29572-4607
Phone
(843) 692-1000
NPI assigned
Oct 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X AA264 FL Primary

Addresses

Primary practice location

809 82ND Pkwy
Grand Strand Regional Medical Center
Myrtle Beach, SC 29572-4607

Mailing address

134 N Gate Rd
C/O Ambulatory Care Anesthetists, LLC
Myrtle Beach, SC 29572-5618
Phone (954) 881-8446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100119000119 FL Practitioner - Anesthesiology Assistant 6305988080 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sheridan Healthcorp IncGroup PAC ID 3173429693, 956 clinicians
American Anesthesiology of Florida IncGroup PAC ID 9133390313, 83 clinicians

Practice addresses (Care Compare)

2801 N St Rd
Suite 7
Margate, FL 33063-5727
Phone (954) 939-5000

401 NW 42ND Ave
Plantation, FL 33317-2835
Phone (954) 587-5010

5352 Linton Blvd
Delray Beach, FL 33484-6514
Phone (866) 507-5244

703 N Flamingo Rd
Pembroke Pines, FL 33028-1006
Phone (954) 844-7137

Hospital & facility affiliations

  • HCA Florida Northwest Hospital Hospital, Margate, FL, CCN 100189
  • Delray Medical Center Hospital, Delray Beach, FL, CCN 100258

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Boca Anesthesia Service Inc CurrentSince May 22, 2016 Accepting new patients
American Anesthesiology of Florida, Inc CurrentSince Feb 1, 2025 Accepting new patients
Anesthesia Physician Solutions of South Florida, LLC CurrentSince Sep 1, 2025 Accepting new patients
American Anesthesiology of Florida, Inc CurrentSince Feb 1, 2025 Accepting new patients
Prosomnia Sleep Health & Wellness of Aventura LLC Anesthesiologist Assistant CurrentSince Sep 20, 2025 Accepting new patients
Anesthesia Physician Solutions of South Florida, LLC Current Accepting new patients
Anesthesia Physician Solutions of South Florida, LLC CurrentSince Sep 1, 2025 Accepting new patients
Miami Anesthesia Services LLC CurrentSince Jan 1, 2023 Accepting new patients
Sheridan Healthcorp Inc CurrentSince Dec 7, 2015 Accepting new patients
Anesthesia Dynamics LLC CurrentSince Jan 1, 2023 Accepting new patients
Sheridan Healthcorp Inc Current Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Dec 7, 2015 Accepting new patients
Boca Anesthesia Service Inc CurrentSince May 22, 2016 Accepting new patients

Locations

2820 NE 214th St
Ste 825
Aventura, FL 33180
Phone (754) 303-2178

21644 State Road 7
Boca Raton, FL 33428
Phone (561) 488-8210

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

950 NW 13th St
#B
Boca Raton, FL 33486
Phone (561) 910-0782

10301 Hagen Ranch Rd
Ste 520
Boynton Beach, FL 33437
Phone (561) 374-5550

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166

5440 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-1000

5065 S State Road 7
Ste 101
Lake Worth, FL 33449
Phone (561) 273-2340

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

13837 Circa Crossing Dr
Ste 100
Lithia, FL 33547
Phone (352) 256-2855

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

5959 NW 7th St
Miami, FL 33126
Phone (305) 264-1000

100 N Dean Rd
Ste 102
Orlando, FL 32825
Phone (407) 506-0006

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

10521 SW Village Center Dr
Ste 104
Port St Lucie, FL 34987
Phone (772) 345-8600

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200

2441 Oak Myrtle Ln
Wesley Chapel, FL 33544
Phone (813) 563-1144

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

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": "1256860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1447586110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 N GATE RD",
            "address_2": "C/O AMBULATORY CARE ANESTHETISTS, LLC",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295725618",
            "telephone_number": "954-881-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 82ND PKWY",
            "address_2": "GRAND STRAND REGIONAL MEDICAL CENTER",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724607",
            "telephone_number": "843-692-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENN",
        "first_name": "NYREE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "AA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-30",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "FL",
            "license": "AA264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.