Individual provider Active NPI

Cierra Pennal, PA-C

  • Medical Physician Assistant
  • Lewes, DE
National Provider Identifier
1982452108
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C5-0012367 Issued in DE
Practice address
34453 King Street Row
Lewes, DE 19958-4787
Phone
(302) 644-7676
NPI assigned
May 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C5-0012367 DE Primary

Addresses

Primary practice location

34453 King Street Row
Lewes, DE 19958-4787

Mailing address

34453 King Street Row
Lewes, DE 19958-4787
Phone (302) 644-7676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20260302002544 DE Practitioner - Physician Assistant 3375025182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 95590
South Jordan, UT 84095

Hospital & facility affiliations

  • Beebe Medical Center Hospital, Lewes, DE, CCN 080007
  • Bayhealth Hospital, Sussex Campus Hospital, Milford, DE, CCN 080009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C5-0012367DEMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Physicians, LLC Cardiovascular Disease CurrentSince Jan 5, 2026 Accepting new patients
Rocky Mountain University of Health Professions Foundation CurrentSince May 19, 2024 Accepting new patients

Locations

34453 King Street Row
Lewes, DE 19958
Phone (302) 644-7676

415 S DuPont Blvd
Milford, DE 19963
Phone (302) 430-7676

1800 Novell Pl
Provo, UT 84606
Phone (801) 375-5125

Organizations & group practices 2

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 2

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": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1982452108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34453 KING STREET ROW",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584787",
            "telephone_number": "302-644-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34453 KING STREET ROW",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584787",
            "telephone_number": "302-644-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNAL",
        "first_name": "CIERRA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-13",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "DE",
            "license": "C5-0012367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

Verify at the official NPI Registry.