MISS PENNY ANN WEST (APRN) – Geriatric Medicine (Family Medicine) Physician, NPI 1467199513

MISS PENNY ANN WEST (APRN) is a healthcare provider. based in Live oak, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. RN9357132 (FL). The NPI Number for MISS PENNY ANN WEST (APRN) is 1467199513

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
MISS PENNY ANN WEST (APRN)
NPI
1467199513
Phone
(386) 209-7728
Address
14144 94TH TRL
Enumeration Date
18 May 2022
Last Update Date
7 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2022 (4 years ago)
PAC ID
6204202039
Group Practice PAC ID
5092132761
Professional Enrollment ID
I20221019003491
Address ID
FL326804364OL12XXXSTXX400

Contacts

Secure Messaging
loganandrews@live.com
Secure Messaging
pwest@acvillage.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:4State licenses:2Other namesUpdated within 12 months

24,232 NURSE PRACTITIONER in FL

Provider Addresses for MISS PENNY ANN WEST (APRN)

  • 14144 94TH TRL

    LIVE OAK, FL 320606391

    Phone: (386) 209-7728

    Fax: (386) 658-2309

    Type: Mailing

  • 10676 MARVIN JONES BLVD

    LIVE OAK, FL 320648242

    Phone: (386) 658-5582

    Type: Location

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: 2022-10-19

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
I20221019003491INurse PractitionerFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes251108$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes23699$0
99497Advance care planning, first 30 minutes5453$0
99345Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes5151$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes3629$0
View full utilization report →

Insurance plans in this area (ZIP 32060)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092132761View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Clinical Social WorkerFL
Nurse PractitionerFL
Physician AssistantFL
Nurse PractitionerFL
Nurse PractitionerFL
Mental Health CounselorFL

Reviews

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Frequently asked questions

Does MISS PENNY ANN WEST (APRN) have a public NPI I can cite?
Public records show MISS PENNY ANN WEST (APRN) under NPI 1467199513.
Is MISS PENNY ANN WEST (APRN)'s NPI status active today?
Active status means MISS PENNY ANN WEST (APRN)'s NPI record is not deactivated in the public file.
What type of care does MISS PENNY ANN WEST (APRN) provide?
MISS PENNY ANN WEST (APRN)'s profile centers on Geriatric Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
Is MISS PENNY ANN WEST (APRN) tied to Live Oak, Florida?
If you are local to Live Oak, Florida, MISS PENNY ANN WEST (APRN) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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