HOLLY PENKACIK (APRN) – Adult Health Nurse Practitioner, NPI 1285186288
Adult Health Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
4,196 NURSE PRACTITIONER in CT
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Provider Addresses for HOLLY PENKACIK (APRN)
322, East Main Street, Branford Center, Branford, New Haven County, Connecticut, 06405, United States
SUITE 1B
BRANFORD, CT 064053136
Phone: (203) 488-7228
Type: Mailing
687, Campbell Avenue, West Haven, New Haven County, Connecticut, 06516, United States
WEST HAVEN, CT 065163774
Phone: (203) 932-6481
Fax: (203) 932-4051
Type: Location
1 CELLINI PL STE 102
WEST HAVEN, CT 065161666
Phone: (203) 932-6481
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $230.
Total Amount is formed as General ($230) + Research ($0) + Ownership ($0) = $230.
Last reported payment date: 2024-04-24 • Largest payer in this snapshot: Eisai Inc. ($117).
Total Amount
$230
General + Research + Ownership
Payments
2
Total payment records
General Amount
$230
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Eisai Inc. | $117 |
| Neurocrine BioSciences Inc. | $113 |
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: 2016-11-30
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 |
|---|---|---|---|---|
| I20161130000859 | I | Nurse Practitioner | CT | 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 |
|---|---|---|---|---|
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 93 | 68 | $0 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 60 | 46 | $0 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 25 | 24 | $0 |
Insurance plans in this area (ZIP 06405)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CT | |
| Nurse Practitioner | CT | |
| Physician Assistant | CT | |
| Nurse Practitioner | CT | |
| Physician Assistant | CT | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | CT | |
| G A S T R O E N T E R O L O G Y | CT | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | CT |
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