Individual provider Active NPI

Richard Pennington, CRNA

  • Certified Registered Nurse Anesthetist
  • Marion, IN
National Provider Identifier
1487166757
Registry record updated Feb 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
28201310A Issued in IN
Practice address
441 N Wabash Ave
Marion, IN 46952-2612
Phone
(765) 660-6000
NPI assigned
Oct 26, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 28201310A IN Primary

Addresses

Primary practice location

441 N Wabash Ave
Marion, IN 46952-2612

Mailing address

3442 S Lincoln Blvd
Marion, IN 46953-4504
Phone (765) 506-7553

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180131002048 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 2668732132 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aas Indiana LLCGroup PAC ID 4688045115, 43 clinicians
Dukes Physician Services LLCGroup PAC ID 3375508211, 7 clinicians

Practice addresses (Care Compare)

2401 W University Ave
Ball Outpatient Surgery Center
Muncie, IN 47303-3428
Phone (765) 747-3111

303 S Main St
Bluffton, IN 46714-2503
Phone (260) 919-3430

Hospital & facility affiliations

  • Bluffton Regional Medical Center Hospital, Bluffton, IN, CCN 150075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
28201310AINMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Aas Indiana LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2023 Accepting new patients
Dukes Physician Services LLC CurrentSince Jan 16, 2026 Accepting new patients
Northstar Anesthesia of Indiana LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 27, 2026 Accepting new patients
Iceland Anesthesia Management, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2022 Accepting new patients

Locations

303 S Main St
Bluffton, IN 46714
Phone (260) 824-0800

10300 N Illinois St
Ste 1300
Carmel, IN 46290
Phone (317) 688-3690

801 S Main St
Clinton, IN 47842
Phone (765) 832-1212

24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237

4105 Dicke Rd
Fort Wayne, IN 46804
Phone (260) 268-1000

441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577

1123 N Western Ave
Marion, IN 46952
Phone (765) 651-9347

2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111

1421 N 7th St
Terre Haute, IN 47807
Phone (812) 231-4604

Organizations & group practices 4

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 1

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": "1508976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518048000000",
    "number": "1487166757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3442 S LINCOLN BLVD",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469534504",
            "telephone_number": "765-506-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 N WABASH AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522612",
            "telephone_number": "765-660-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "RICHARD",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-26",
        "last_updated": "2018-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28201310A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; 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.