Individual provider Active NPI

Penny Stine Koval, D.C.

  • Chiropractor
  • Hershey, PA
National Provider Identifier
1558336859
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC005408L Issued in PA
Practice address
475 W Governor Rd
Suite 3
Hershey, PA 17033-2217
Phone
(717) 533-0881
Fax
(717) 533-2155
NPI assigned
Feb 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC005408L PA Primary

Addresses

Primary practice location

475 W Governor Rd
Suite 3
Hershey, PA 17033-2217

Mailing address

234 Meadow LN
Hershey, PA 17033-9731
Phone (717) 367-0844

Other identifiers 5

IdentifierTypeStateIssuer
0024547OtherPAGROUP MEDICARE
7927705OtherPAAETNA HMO
K002139OtherPAHIGHMARK
3794718OtherPAAETNA
358450OtherPAHIGHMARK GROUP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050506000103 PA Practitioner - Chiropractic 0143260398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellcare Chiropractic IncGroup PAC ID 0840265674, 2 clinicians

Practice addresses (Care Compare)

20 Valley Rd
Hershey, PA 17033-1554
Phone (717) 533-0881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wellcare Chiropractic, Inc. Chiropractor CurrentSince Jun 1, 1997 Accepting new patients

Locations

475 W Governor Rd
Ste 3
Hershey, PA 17033
Phone (717) 533-0881

20 Valley Rd
Hershey, PA 17033
Phone (717) 533-0881

Organizations & group practices 1

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": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1558336859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 MEADOW LN",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170339731",
            "telephone_number": "717-367-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 W GOVERNOR RD",
            "address_2": "SUITE 3",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332217",
            "telephone_number": "717-533-0881",
            "fax_number": "717-533-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVAL",
        "first_name": "PENNY",
        "middle_name": "STINE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC005408L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE",
            "identifier": "0024547",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "7927705",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "K002139",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3794718",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK GROUP",
            "identifier": "358450",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.