Jennifer Lauren Holdefer Penuel, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

ZRB 739
1530 3Rd Ave South
Birmingham, AL 35294-0001

Phone

(205) 975-1334

NPI assigned

Apr 10, 2008

Last updated

Sep 14, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Capstone Health Services Foundation PCGroup PAC ID 6103724489, 159 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.penuel.p1@direct.umc.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Capstone Health Services Foundation PC

  dba University Medical Center

  • Family Medicine Physician
  • Tuscaloosa, AL
  • NPI 1740397751
  Medicare reassignment Care Compare group
• Capstone Health Services Foundation PC

  dba University Medical Center Livingston

  • Family Medicine Physician
  • Livingston, AL
  • NPI 1124763784
  NPD
• Capstone Health Services Foundation PC

  dba University Medical Center Neurology

  • Neurology Physician
  • Tuscaloosa, AL
  • NPI 1255212353
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1619140571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 FRONTIER ST",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354754658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ZRB 739",
            "address_2": "1530 3RD AVE SOUTH",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352940001",
            "telephone_number": "205-975-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDEFER PENUEL",
        "first_name": "JENNIFER",
        "middle_name": "LAUREN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lygis Holcomb, CRNP
• Robert Holcomb
• Benjamin Willis Holcombe, M.D.
• Hannah Gabriel Holcombe
• John L Holcombe Jr., MD
• Julie Rachelle Holden, M.D.
• William Holden
• Addie Camille Holder
• Danny D Holder, RPH
• Alyson Mason Holditch

• Physician Assistant in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.