AILYN PENATE – Clinical Neuropsychologist, NPI 1447682711

AILYN PENATE is a healthcare provider. based in Tallahassee, Florida. specializing in CLINICAL PSYCHOLOGIST. They hold a License No. IMH6810 (FL). The NPI Number for AILYN PENATE is 1447682711

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
AILYN PENATE
NPI
1447682711
Phone
(850) 431-5001
Address
1401 CENTERVILLE RD STE 504
Enumeration Date
8 August 2013
Last Update Date
20 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8888769784
Graduation Year
2015 (11 years ago)
PAC ID
2365707965
Group Practice PAC ID
5395148670
Professional Enrollment ID
I20180601000824
Address ID
FL322576257JA10450BLVD401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

1,602 CLINICAL PSYCHOLOGIST in FL

Provider Addresses for AILYN PENATE

  • 1401 CENTERVILLE RD STE 504

    TALLAHASSEE, FL 323084640

    Phone: (850) 431-5001

    Fax: (850) 431-6101

    Type: Mailing

  • 10450 SAN JOSE BLVD STE L

    JACKSONVILLE, FL 322576257

    Phone: (904) 289-3119

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2018-06-01

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180601000824IClinical PsychologistFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32308)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for AILYN PENATE?
AILYN PENATE — NPI 1447682711 — is the standard way to identify this listing.
Is AILYN PENATE listed as active for patients and plans?
The listing shows AILYN PENATE as active in the NPI system.
What taxonomy line describes AILYN PENATE?
For research purposes, treat AILYN PENATE as Clinical Neuropsychologist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect AILYN PENATE on a map?
Expect Tallahassee, Florida as a primary anchor for AILYN PENATE unless the record lists multiple sites.
Why does AILYN PENATE have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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