Individual provider Active NPI

Penny Lane Finch, CFNP

  • Family Nurse Practitioner
  • Aberdeen, MS
National Provider Identifier
1467639211
Registry record updated Nov 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R713562 Issued in MS
Practice address
502 Jackson St
Suite 5
Aberdeen, MS 39730-3300
Phone
(662) 369-9525
Fax
(662) 304-4002
NPI assigned
Jan 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2009

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 R713562 MS Primary

Addresses

Primary practice location

502 Jackson St
Suite 5
Aberdeen, MS 39730-3300

Mailing address

PO Box 1100
Magee, MS 39111-1100
Phone (601) 849-1682

Other identifiers 1

IdentifierTypeStateIssuer
09083707MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20080826000353 MS Practitioner - Nurse Practitioner 7012082191 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boa Vida Hospital of Aberdeen Ms LLC 70 clinicians

Practice addresses (Care Compare)

400 S Chestnut St
Aberdeen, MS 39730-3335
Phone (662) 369-2455

502 S Chestnut St
Aberdeen, MS 39730-3337
Phone (662) 319-8844

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Columbus, MS, CCN 257110
  • Monroe Regional Hospital Hospital, Aberdeen, MS, CCN 251302
  • BMH-Golden Triangle Hospital, Columbus, MS, CCN 250100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R713562MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Boa Vida Hospital of Aberdeen, Ms, LLC CurrentSince Oct 1, 2017 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms, LLC CurrentSince Dec 20, 2025 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms LLC CurrentSince Oct 1, 2017 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms, LLC Past Accepting new patients
Pioneer Health Services of Monroe County, Inc Past Accepting new patients
Boa Vida Hospital of Aberdeen, Ms, LLC Past Accepting new patients

Locations

10996 Four Seasons Pl
Ste 100A
Crown Point, IN 46307
Phone (219) 213-2380

400 S Chestnut St
Aberdeen, MS 39730
Phone (662) 369-2455

40128 Hamilton Rd
Hamilton, MS 39746
Phone (662) 343-5129

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258675200000",
    "number": "1467639211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1100",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "391111100",
            "telephone_number": "601-849-1682",
            "fax_number": "601-849-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 JACKSON ST",
            "address_2": "SUITE 5",
            "city": "ABERDEEN",
            "state": "MS",
            "postal_code": "397303300",
            "telephone_number": "662-369-9525",
            "fax_number": "662-304-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINCH",
        "first_name": "PENNY",
        "middle_name": "LANE",
        "name_prefix": "Mrs.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-23",
        "last_updated": "2009-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R713562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09083707",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, MS

Sources for this page

Verify at the official NPI Registry.