Individual provider Active NPI

Daniel Todd Penick, FNP-BC

  • Family Nurse Practitioner
  • Hermitage, TN
National Provider Identifier
1972904035
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19024 Issued in TN
Practice address
5651 Frist Blvd Ste 309
Hermitage, TN 37076-2057
Phone
(615) 250-6900
Fax
(615) 250-6904
NPI assigned
Sep 9, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 19024 TN
Family Nurse Practitioner 363LF0000X 19024 TN Primary

Addresses

Primary practice location

5651 Frist Blvd Ste 309
Hermitage, TN 37076-2057

Mailing address

1391 Foxland Blvd
G 107
Gallatin, TN 37066-3560
Phone (615) 675-4334

Other practice location 1

1391 Foxland Blvd
G 107
Gallatin, TN 37066-3560
Phone (615) 675-4334

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DANIEL.PENICK@hca1.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20160427000577 TN Practitioner - Nurse Practitioner 7810296779 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intensive Care Consortium IncGroup PAC ID 0244269413, 485 clinicians
Middle Tennessee Pulmonary Associates LLCGroup PAC ID 8628090958, 10 clinicians

Practice addresses (Care Compare)

2300 Patterson St
Nashville, TN 37203-1538
Phone (561) 997-0821

3441 Dickerson Pike
Nashville, TN 37207-2539
Phone (615) 769-2000

5651 Frist Blvd
Suite 213
Hermitage, TN 37076-2056
Phone (615) 250-6900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19024TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine Services of TN, LLC Family CurrentSince Apr 1, 2023 Accepting new patients
Middle Tennessee Pulmonary Associates, LLC Family CurrentSince Jul 1, 2021 Accepting new patients
Anova Medical Associates, PLC CurrentSince Aug 2, 2021 Accepting new patients
Intensive Care Consortium Inc Nurse Practitioner CurrentSince Apr 1, 2016 Accepting new patients

Locations

1156 Nashville Pike
Gallatin, TN 37066
Phone (615) 989-1088

355 New Shackle Island Rd
Hendersonvlle, TN 37075
Phone (615) 264-4000

5651 Frist Blvd
Ste 213
Hermitage, TN 37076
Phone (615) 250-6900

5651 Frist Blvd
Ste 309
Hermitage, TN 37076
Phone (615) 250-6900

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

2300 Patterson St
#M
Nashville, TN 37203

Interoperability endpoints

  • Direct secure messaging: nmcdpenick@yourcarecommunity.org

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1972904035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1391 FOXLAND BLVD",
            "address_2": "G 107",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663560",
            "telephone_number": "615-675-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5651 FRIST BLVD STE 309",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762057",
            "telephone_number": "615-250-6900",
            "fax_number": "615-250-6904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1391 Foxland Blvd",
            "address_2": "G 107",
            "address_purpose": "LOCATION",
            "city": "Gallatin",
            "state": "TN",
            "postal_code": "370663560",
            "country_code": "US",
            "telephone_number": "615-675-4334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENICK",
        "first_name": "DANIEL",
        "middle_name": "TODD",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-09",
        "last_updated": "2022-01-04",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "19024",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "19024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DANIEL.PENICK@hca1.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1391 Foxland Blvd",
            "address_2": "G 107",
            "city": "Gallatin",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370663560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

Verify at the official NPI Registry.