Penny Pickle Krispin, RN NP-C

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

510151 Issued in TX

Practice address

2827 Poplar St
Greenville, TX 75402-8952

Phone

(903) 450-0710

Fax

(903) 306-1168

NPI assigned

Jul 11, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

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.

• Sabine Valley Medical Associates Inc

  • Multi-Specialty Clinic/Center
  • Greenville, TX
  • NPI 1972077063

  Family, TX

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1801237391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2827 POPLAR ST",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754028952",
            "telephone_number": "903-450-0710",
            "fax_number": "903-306-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2827 POPLAR ST",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754028952",
            "telephone_number": "903-450-0710",
            "fax_number": "903-306-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKLE KRISPIN",
        "first_name": "PENNY",
        "credential": "RN NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "510151",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "510151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380143302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mandolyn Mae Peterson
• David G Phelps, D.D.S.
• Mohan P Philip, M.D
• Rachel Philip, DO
• Camille Crawford Phillips, DPT
• Marcela Pinzon, OTR
• Tanna Pirtle, APRN
• Sarah Lynn Pisney, RN
• Plano TX Caregiving LLC
• Podiatry Center of North Texas, LLC

• Pediatric Nurse Practitioner in Greenville, TX
• Providers in Greenville, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.

Verify at the official NPI Registry.