Ali N Penn, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

COA.13652-NP Issued in OH

Practice address

227 Valley View Dr
Waverly, OH 45690-9135

Phone

(740) 947-7726

Fax

(740) 947-9354

NPI assigned

Jan 9, 2013

Last updated

Sep 22, 2021By the provider in NPPES

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 OH

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Action Committee of Pike CountyGroup PAC ID 3173432762, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adena Regional Medical Center Hospital, Chillicothe, OH, CCN 360159
• Southern Ohio Medical Center Hospital, Portsmouth, OH, CCN 360008
• Adena Pike Medical Center Hospital, Waverly, OH, CCN 361334

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ali.penn@vvhcw.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Action Committee of Pike County

  • Primary Care Clinic/Center
  • Portsmouth, OH
  • NPI 1578974929
  Medicare reassignment Care Compare group NPD
• Community Action Committee of Pike County

  • Primary Care Clinic/Center
  • Waverly, OH
  • NPI 1760659171
  Medicare reassignment
• Community Action Committee of Pike County

  • Primary Care Clinic/Center
  • Jackson, OH
  • NPI 1114194347
  NPD
• Community Action Committee of Pike County

  • Primary Care Clinic/Center
  • Piketon, OH
  • NPI 1811164254
  NPD
• Community Action Committee of Pike County

  dba West Portsmouth Family Practice

  • Federally Qualified Health Center (FQHC)
  • West Portsmouth, OH
  • NPI 1003908930
  NPD (past)
• Community Action Committee of Pike County

  • Primary Care Clinic/Center
  • Piketon, OH
  • NPI 1083537724
  NPD (past)
• Community Action Committee of Pike County

  dba Family Health Center - Waverly

  • Federally Qualified Health Center (FQHC)
  • Waverly, OH
  • NPI 1891887790
  NPD (past)

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

• Adena Health System

  dba Adena Regional Medical Center

  • General Acute Care Hospital
  • Chillicothe, OH
  • NPI 1902839673
  Care Compare affiliation
• Pike Health Services, Inc

  dba Pike Community Hospital; Pike Medical & Surgical Associates

  • Critical Access Hospital
  • Waverly, OH
  • NPI 1720018971
  Care Compare affiliation
• Southern Ohio Medical Center

  • General Acute Care Hospital
  • Portsmouth, OH
  • NPI 1053342816
  Care Compare affiliation

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1962749085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 MARKET ST",
            "city": "PIKETON",
            "state": "OH",
            "postal_code": "456619757",
            "telephone_number": "740-289-2371",
            "fax_number": "740-289-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 VALLEY VIEW DR",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456909135",
            "telephone_number": "740-947-7726",
            "fax_number": "740-947-9354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENN",
        "first_name": "ALI",
        "middle_name": "N",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-09",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.13652-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mike Pass
• Manan Shanabhai Patel, RPH
• Pebble Township
• April Pederson
• Tracy L Pederson, LCDCIII, SWA
• Ashley Taylor Pennington, CDCA, QMHS
• Savannah Jo-Nicole Perkins
• Laura Nicole Pierce
• Pike Adult Activities Dba Canal Industries
• Pike Co

• Family Nurse Practitioner in Waverly, OH
• Providers in Waverly, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.