Individual provider Active NPI

Penney Jo Gainer, APRN, FNP-BC

  • Family Nurse Practitioner
  • Barrington, IL
National Provider Identifier
1578433256
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.033686 Issued in IL
Practice address
405 Lake Zurich Rd
Barrington, IL 60010-3141
Phone
(844) 656-8763
NPI assigned
Nov 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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 209.033686 IL Primary

Addresses

Primary practice location

405 Lake Zurich Rd
Barrington, IL 60010-3141

Mailing address

50 S Milwaukee Ave Ste 103
Lake Villa, IL 60046-9407
Phone (224) 215-6242

Other practice location 1

50 S Milwaukee Ave Ste 103
Lake Villa, IL 60046-9407
Phone (224) 215-6242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20260130000504 IL Practitioner - Nurse Practitioner 0547748642 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hpa Medical Management LLCGroup PAC ID 3274877105, 16 clinicians
Wound Wellness PLLCGroup PAC ID 4688016710, 7 clinicians

Practice addresses (Care Compare)

405 Lake Zurich Rd
Suite 100
Barrington, IL 60010-3141
Phone (847) 381-5599

50 S Milwaukee Ave
Suite 103
Lake Villa, IL 60046-9407
Phone (224) 215-6242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.033686ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Wellness, PLLC CurrentSince Nov 1, 2025 Accepting new patients

Locations

50 S Milwaukee Ave
Ste 103
Lake Villa, IL 60046
Phone (224) 215-6242

Organizations & group practices 2

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": "1762473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1578433256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S MILWAUKEE AVE STE 103",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600469407",
            "telephone_number": "224-215-6242",
            "fax_number": "224-842-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 LAKE ZURICH RD",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600103141",
            "telephone_number": "844-656-8763"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 S Milwaukee Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Lake Villa",
            "state": "IL",
            "postal_code": "600469407",
            "country_code": "US",
            "telephone_number": "224-215-6242",
            "fax_number": "224-842-0099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAINER",
        "first_name": "PENNEY",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-07",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.033686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barrington, IL

Sources for this page

Verify at the official NPI Registry.