Pennelope Dyals, ARNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

9309664 Issued in FL

Practice address

910 Old Camp Rd Ste 144
The Villages, FL 32162-5609

Phone

(352) 753-2224

Fax

(352) 753-0833

NPI assigned

Dec 4, 2006

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 FL

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

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sinai Internal Medicine SpecialistsGroup PAC ID 8527257849, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EJJFAD

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.

• Sinai Internal Medicine Specialists

  • Internal Medicine Physician
  • The Villages, FL
  • NPI 1639474364
  Medicare reassignment Care Compare group NPD
• Bethsaida Healthcare System Inc

  • Adult Medicine Physician
  • Wildwood, FL
  • NPI 1003385055
  Medicare reassignment NPD
• Transitions Healthcare LLC

  • Internal Medicine Physician
  • Clearwater, FL
  • NPI 1821707407
  Medicare reassignment NPD
• Wound Technology Network Inc

  • Infectious Disease Physician
  • Orlando, FL
  • NPI 1962601393
  Medicare reassignment NPD
• WT Health of Florida LLC

  • Infectious Disease Physician
  • Orlando, FL
  • NPI 1982434106
  Medicare reassignment NPD
• Axis Multispecialty Group PLLC

  • Specialist
  • Gainesville, FL
  • NPI 1033099775
  Medicare reassignment
• Renew Psychiatry

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ocala, FL
  • NPI 1952294175
  NPD (past)
• Sinai Healthcare

  • Adult Health Nurse Practitioner
  • The Villages, FL
  • NPI 1770032070
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1659449817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 OLD CAMP RD STE 144",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625609",
            "telephone_number": "352-753-2224",
            "fax_number": "352-753-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 OLD CAMP RD STE 144",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625609",
            "telephone_number": "352-753-2224",
            "fax_number": "352-753-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYALS",
        "first_name": "PENNELOPE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "9309664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alvin Amboy Du
• Michael Duda, PHARMACIST
• Michelle Dulgar, DMD
• Cristina Dureza
• Stehline Duval, MD
• Julie Marie Ear, PHARMD
• Kathleen Marie Early
• Edward L Easley, RPH
• Eastport Behavioral Health & Psychiatry LLC
• Colby Eisenbach, MD

• Gerontology Nurse Practitioner in The Villages, FL
• Providers in The Villages, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.