Individual provider Active NPI

Denise K Penny, FNP

  • Family Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1881099786
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5009733 Issued in NC
Practice address
3001 Edwards Mill Rd
Raleigh, NC 27612-5243
Phone
(919) 781-5600
Fax
(919) 863-6821
NPI assigned
Nov 4, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5009733 NC Primary

Addresses

Primary practice location

3001 Edwards Mill Rd
Raleigh, NC 27612-5243

Mailing address

3001 Edwards Mill Rd Ste 200
Raleigh, NC 27612-5243
Phone (919) 781-5600

Other practice location 1

2713 Cutleaf Dr
Apex, NC 27539-9193
Phone (562) 986-0424

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DENISEPENNY.RALEIGHORTHO@939.DIRECT.MYEZYACCESS.COM Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150312002768 CA Practitioner - Nurse Practitioner 6507182326 Reassigns benefits to 1 organization
I20171101003377 NC Practitioner - Nurse Practitioner 6507182326 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Orthopaedic Clinic PA CurrentSince Jun 1, 2019 Accepting new patients
Seaside Emergency Associates CurrentSince Oct 14, 2015 Accepting new patients
County of Ventura Past Accepting new patients

Locations

825 N 10th St
Santa Paula, CA 93060
Phone (805) 933-8600

3291 Loma Vista Rd
Ventura, CA 93003
Phone (805) 652-6000

1325 Timber Dr E
Garner, NC 27529
Phone (919) 863-6856

3515 Glenwood Ave
Raleigh, NC 27612
Phone 91978156006856

3001 Edwards Mill Rd
Raleigh, NC 27612
Phone (919) 719-3070

3001 Edwards Mill Rd
Ste 200
Raleigh, NC 27612
Phone (919) 863-6852

Interoperability endpoints

  • Direct secure messaging: denisepenny.raleighortho@939.direct.myezyaccess.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1881099786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 EDWARDS MILL RD STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276125243",
            "telephone_number": "919-781-5600",
            "fax_number": "919-863-6821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 EDWARDS MILL RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276125243",
            "telephone_number": "919-781-5600",
            "fax_number": "919-863-6821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2713 Cutleaf Dr",
            "address_purpose": "LOCATION",
            "city": "Apex",
            "state": "NC",
            "postal_code": "275399193",
            "country_code": "US",
            "telephone_number": "562-986-0424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENNY",
        "first_name": "DENISE",
        "middle_name": "K",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-04",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5009733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DENISEPENNY.RALEIGHORTHO@939.DIRECT.MYEZYACCESS.COM",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3001 Edwards Mill Rd",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276125243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.