Individual provider Active NPI

Sarah Beth Penn, FNP-BC

  • Family Nurse Practitioner
  • Chillicothe, MO
National Provider Identifier
1538884978
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2022039568 Issued in MO
Practice address
245 S Washington St
Chillicothe, MO 64601-3031
Phone
(660) 752-9006
NPI assigned
Oct 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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 2022039568 MO Primary

Addresses

Primary practice location

245 S Washington St
Chillicothe, MO 64601-3031

Mailing address

624 W Lockling St
Brookfield, MO 64628-2003
Phone (660) 268-4006

Other practice location 1

624 W Lockling St
Brookfield, MO 64628-2003
Phone (660) 268-4006

Other practice location 2

1600 E Broadway
Columbia, MO 65201-5844
Phone (573) 815-2700

Other names 1

  • Sarah Beth Enyard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20221210000100 MO Practitioner - Nurse Practitioner 9335531060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

624 W Lockling St
Brookfield, MO 64628-2003
Phone (660) 268-4006

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2022039568MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hannibal Regional Healthcare System, Inc CurrentSince Dec 1, 2022 Accepting new patients
Hannibal Regional Healthcare System, Inc Current Accepting new patients
Hannibal Regional Healthcare System Inc CurrentSince Dec 1, 2022 Accepting new patients

Locations

624 W Lockling St
Brookfield, MO 64628
Phone (660) 258-3363

245 S Washington St
Chillicothe, MO 64601
Phone (660) 752-9006

6500 Hospital Dr
Hannibal, MO 63401
Phone (573) 629-3400

6000 Hospital Dr
Hannibal, MO 63401
Phone (573) 248-5460

1 Crown Dr
Ste 200
Kirksville, MO 63501
Phone (660) 665-2844

1103 Cottage Grove Ave
Kirksville, MO 63501
Phone (660) 956-7011

1611 S Baltimore St
#A
Kirksville, MO 63501

29934 July Rd
La Plata, MO 63549
Phone (660) 332-7022

1206 N Missouri St
Ste C
Macon, MO 63552
Phone (660) 395-7575

2100 Silva Ln
Ste A
Moberly, MO 65270
Phone (660) 263-7201

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
  • Direct secure messaging: sarah.enyard.p1@direct.cfmkv.nextgenshare.com

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.

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": "1665100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1538884978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 W LOCKLING ST",
            "city": "BROOKFIELD",
            "state": "MO",
            "postal_code": "646282003",
            "telephone_number": "660-268-4006",
            "fax_number": "660-258-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 S WASHINGTON ST",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "646013031",
            "telephone_number": "660-752-9006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "624 W Lockling St",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "MO",
            "postal_code": "646282003",
            "country_code": "US",
            "telephone_number": "660-268-4006",
            "fax_number": "660-258-9006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 E Broadway",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652015844",
            "country_code": "US",
            "telephone_number": "573-815-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENN",
        "first_name": "SARAH",
        "middle_name": "BETH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-07",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2022039568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "ENYARD",
            "middle_name": "BETH",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chillicothe, MO

Sources for this page

Verify at the official NPI Registry.