JENNIFER JOHANNA PENNE (APN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1497968101
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,410 NURSE PRACTITIONER in AR
Loading map...
Provider Addresses for JENNIFER JOHANNA PENNE (APN)
2400, South 48th Street, Springdale, Washington County, Arkansas, 72762, United States
SPRINGDALE, AR 727626683
Phone: (479) 750-2020
Fax: (479) 750-4843
Type: Mailing
2566 E JOYCE BLVD
FAYETTEVILLE, AR 727034553
Phone: (479) 935-1000
Fax: (479) 935-2000
Type: Mailing
105 N Mill Ave
Fayetteville, AR 727014273
Phone: (479) 713-8350
Fax: (479) 713-8375
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 215 Open Payments records for all available years, with a total value of $4,629.
Total Amount is formed as General ($4,629) + Research ($0) + Ownership ($0) = $4,629.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Corium, LLC ($652).
Total Amount
$4,629
General + Research + Ownership
Payments
215
Total payment records
General Amount
$4,629
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Corium, LLC | $652 |
| ABBVIE INC. | $639 |
| Neuronetics, Inc. | $583 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $477 |
| ITI, Inc. | $314 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-06-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120615000304 | I | Nurse Practitioner | AR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 94 | 22 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 86 | 20 | $0 |
Insurance plans in this area (ZIP 72762)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | AR | 90792 | Psychiatric diagnostic evaluation with medical services | 33 | 33 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| P S Y C H I A T R Y | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| P S Y C H I A T R Y | MO |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.