Active NPI
Marcy Marie Penrod, MSN, AGPC-NP
- Gerontology Nurse Practitioner
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 71009503A
- Practice address
- 8333 Naab Rd
Indianapolis, IN 46260-5924 - Phone
- (317) 338-6666
- NPI assigned
- Oct 23, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 71009503A | IN | Primary |
Addresses
Primary practice location
8333 Naab Rd
Indianapolis, IN 46260-5924
Mailing address
8333 Naab Rd
Indianapolis, IN 46260-5924
Phone (317) 338-6666
Other practice location 1
10694 Coyote Run
Fishers, IN 46038-8314
Phone (765) 251-2111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
155 Memorial Dr
Pinehurst, NC 28374-8710
Phone (910) 715-7650
205 Page Rd
Pinehurst, NC 28374-8749
Phone (910) 295-9211
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.95 of 100
- Quality
- 65.05
- Promoting interoperability
- 78
- Improvement activities
- 40
- Cost
- 87.57
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71009503A | IN | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCPC-18, LLC | Current | Accepting new patients | |
| MCPC-5, LLC | Current | Accepting new patients | |
| MCPC-5, LLC | Current | Accepting new patients | |
| FHPG, LLC | Past | Accepting new patients |
Locations
205 Page Rd
Pinehurst, NC 28374
Phone (910) 295-9211
120 Page Rd N
Pinehurst, NC 28374
Phone (910) 715-8691
7 Regional Cir
Pinehurst, NC 28374
Phone (910) 715-8600
155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000
46 Memorial Dr
Pinehurst, NC 28374
Phone (910) 295-6782
Interoperability endpoints
- marcy.penrod.1@7598.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Pulmonary Disease Physician
- Pinehurst, NC
- NPI 1295262103
-
- Cardiovascular Disease Physician
- Pinehurst, NC
- NPI 1689944514
-
- Cardiovascular Disease Physician
- Pinehurst, NC
- NPI 1679119499
-
- Specialist
- Pinehurst, NC
- NPI 1770512865
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Obesity Medicine (Internal Medicine) Physician
- Pinehurst, NC
- NPI 1740463967
Hospital
-
- General Acute Care Hospital
- Pinehurst, NC
- NPI 1740208081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1699318592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8333 NAAB RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462605924",
"telephone_number": "317-338-6666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8333 NAAB RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462605924",
"telephone_number": "317-338-6666"
}
],
"practiceLocations": [
{
"address_1": "10694 Coyote Run",
"address_purpose": "LOCATION",
"city": "Fishers",
"state": "IN",
"postal_code": "460388314",
"country_code": "US",
"telephone_number": "765-251-2111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PENROD",
"first_name": "MARCY",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MSN, AGPC-NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-23",
"last_updated": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "IN",
"license": "71009503A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.