Melissa Leigh Penny, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

056725 Issued in KS

Practice address

307 Boatner Rd
Suite 114
Eglin Afb, FL 32542-1302

Phone

(850) 883-8600

NPI assigned

Jun 15, 2007

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 KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ascension Via Christi Hospitals Wichita IncGroup PAC ID 5799696944, 123 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Via Christi Hospitals Wichita, Inc. Hospital, Wichita, KS, CCN 170122

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20807/brand/4/csg/1/fhir/r4

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.

• Ascension Via Christi Hospitals Wichita Inc.

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1871589333
  Medicare reassignment Care Compare group NPD
• Inpatient Consultants of Kansas PA

  • Internal Medicine Physician
  • Overland Park, KS
  • NPI 1548563737

  Family Medicine

  Medicare reassignment NPD
• Kansas Hospitalist Services PA

  • Hospitalist Physician
  • Dodge City, KS
  • NPI 1497255418
  Medicare reassignment NPD
• Ascension Via Christi Hospitals Wichita Inc.

  • Land Ambulance
  • Wichita, KS
  • NPI 1548097165
  NPD
• Inpatient Consultants of Kansas PA

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1225331002

  Family Medicine

  NPD
• Ascension Via Christi Hospitals Wichita Inc.

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1154314789
  NPD (past)
• Mercy Kansas Communities Inc

  • Emergency Care Clinic/Center
  • Independence, KS
  • NPI 1417064957
  NPD (past)
• Via Christi Hospitals Wichita, Inc.

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1467448696
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ascension Via Christi Hospitals Wichita Inc.

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1154314789
  Care Compare affiliation

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438732800000",
    "number": "1699970194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 E ROSS PKWY",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672101311",
            "telephone_number": "316-866-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 BOATNER RD",
            "address_2": "SUITE 114",
            "city": "EGLIN AFB",
            "state": "FL",
            "postal_code": "325421302",
            "telephone_number": "850-883-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNY",
        "first_name": "MELISSA",
        "middle_name": "LEIGH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2015-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "056725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Nicole Paski, MD
• Laurence L. Pass, PSY.D.
• Benjamin Patrick, PMHNP
• Paul L Pearman Jr., PT, DPT, OCS
• Daniel Pehrson
• Cody John Percival, DDS
• Lizbeth Lorena Perez Rodriguez, MD
• Elizabeth Perryman, PHD, LCSW, BCD
• Lucas Ryan Petkewitz, DPT
• Michelle Renee Pettit, LCSW

• Family Medicine Physician in Eglin Afb, FL
• Providers in Eglin Afb, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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.