Individual provider Active NPI

Rachel Penning, APRN, AGNP-C

  • Nurse Practitioner
  • Prescott, AZ
National Provider Identifier
1932632296
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP10009 Issued in AZ
Practice address
3623 Crossings Dr Ste 206
Prescott, AZ 86305-7101
Phone
(866) 849-0692
Fax
(888) 973-8821
NPI assigned
Apr 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN184678 AZ
Nurse Practitioner 363L00000X 1070499 TX
Nurse Practitioner 363L00000X 0102187 CO
Nurse Practitioner 363L00000X APRN11017158 FL
Nurse Practitioner 363L00000X 0031626 OH
Nurse Practitioner 363L00000X APRN-4567-0 HI
Nurse Practitioner 363L00000X 10020656 OR
Nurse Practitioner 363L00000X ARNP.AP.70027433-NP WA
Gerontology Nurse Practitioner 363LG0600X AP10009 AZ
Nurse Practitioner 363L00000X AP10009 AZ Primary

Addresses

Primary practice location

3623 Crossings Dr Ste 206
Prescott, AZ 86305-7101

Mailing address

PO Box 211699
Eagan, MN 55121-3699
Phone (866) 849-0692

Other practice location 1

880 SW 145th Ave Ste 202
Pembroke Pines, FL 33027-6171
Phone (866) 849-0692

Other practice location 2

13575 W Indian School Rd Ste 900
Litchfield Park, AZ 85340-4902
Phone (605) 321-1068

Other practice location 3

20405 State Highway 249 Ste 325
Houston, TX 77070-2893
Phone (866) 849-0692

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rachel.penning@devoted.com Direct
Direct Messaging Address dmglicenseupdates@devoted.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, FL, TX, OR, CO, HI6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20170425000913 AZ Practitioner - Nurse Practitioner 0840576021 Reassigns benefits to 1 organization
I20220825000275 FL Practitioner - Nurse Practitioner 0840576021 Reassigns benefits to 1 organization
I20220913001384 TX Practitioner - Nurse Practitioner 0840576021 Reassigns benefits to 1 organization
I20240508003619 OR Practitioner - Nurse Practitioner 0840576021 Reassigns benefits to 1 organization
I20240524000846 CO Practitioner - Nurse Practitioner 0840576021 Reassigns benefits to 1 organization
I20240607001154 HI Practitioner - Nurse Practitioner 0840576021 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN184678AZMDRegistered Nurse
0102187COMDNurse Practitioner
APRN11017158FLMDNurse Practitioner
APRN-4567-0HIMDNurse Practitioner
0031626OHMDNurse Practitioner
10020656ORMDNurse Practitioner
1070499TXMDNurse Practitioner
ARNP.AP.70027433-NPWAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Devoted Medical Group Professional Corporation CurrentSince May 31, 2022 Accepting new patients
Devoted Medical Group of Texas Inc CurrentSince Jul 1, 2022 Accepting new patients
Arizona Internal Medicine & Pediatrics Corp. PastSince Aug 2, 2004 Accepting new patients

Locations

16435 N Scottsdale Rd
Ste 285
Scottsdale, AZ 85254
Phone (520) 346-4431

880 SW 145th Ave
Ste 202
Pembroke Pines, FL 33027
Phone (615) 275-6612

221 Crescent St
Ste 202
Waltham, MA 02453
Phone (617) 958-1611

4145 SW Watson Ave
Ste 350
Beaverton, OR 97005
Phone (503) 728-8546

1201 Fannin St
Ste 262
Houston, TX 77002
Phone (714) 873-6202

20405 State Highway 249
Ste 325
Houston, TX 77070
Phone (713) 597-5114

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.

NPI Registry JSON

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1932632296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211699",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551213699",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3623 CROSSINGS DR STE 206",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057101",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "880 SW 145th Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330276171",
            "country_code": "US",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13575 W Indian School Rd Ste 900",
            "address_purpose": "LOCATION",
            "city": "Litchfield Park",
            "state": "AZ",
            "postal_code": "853404902",
            "country_code": "US",
            "telephone_number": "605-321-1068",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20405 State Highway 249 Ste 325",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770702893",
            "country_code": "US",
            "telephone_number": "866-849-0692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENNING",
        "first_name": "RACHEL",
        "credential": "APRN, AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-04",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN184678",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1070499",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "0102187",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11017158",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "0031626",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "APRN-4567-0",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "10020656",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "ARNP.AP.70027433-NP",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "AP10009",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP10009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rachel.penning@devoted.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "880 SW 145th Ave Ste 202",
            "city": "Pembroke Pines",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330276171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmglicenseupdates@devoted.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "880 SW 145th Ave Ste 202",
            "city": "Pembroke Pines",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330276171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.