MS. MARY CATHARINE PENN (ARNP) – Nurse Practitioner, NPI 1861488546

Nurse Practitioner

MS. MARY CATHARINE PENN (ARNP) is a healthcare provider. based in St augustine, Florida. specializing in Nurse Practitioner. They hold the professional credentials ARNP. They hold a License No. 2849942 (FL). The NPI Number for MS. MARY CATHARINE PENN (ARNP) is 1861488546

Main info

Female

24 Years Of Experience

Accepts Medicare Assignment

Name

MS. MARY CATHARINE PENN (ARNP)

NPI

1861488546

Phone

(904) 686-3932

Address

197 DELTONA BLVD

Enumeration Date

27 September 2005

Last Update Date

13 February 2021

Doctor Profile

Medical School Name

OTHER

Secondary Phone

9042025222

Graduation Year

2002 (24 years ago)

PAC ID

7719049956

Group Practice PAC ID

5092801647

Professional Enrollment ID

I20081222000326

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience73

Completeness75

Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for MS. MARY CATHARINE PENN (ARNP)

197, Deltona Boulevard, Saint Augustine Shores, Saint Johns County, Florida, 32086, United States
ST AUGUSTINE, FL 32086
Phone: (904) 686-3932
Fax: (904) 686-3933
Type: Mailing
400 COLONNADE DR
SUITE 160
PONTE VEDRA, FL 32081
Phone: (904) 824-1020
Fax: (904) 824-5333
Type: Location
PO BOX 45443
SALT LAKE CITY, UT 841450443
Phone: (904) 202-1032
Fax: (904) 376-4107
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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 32086)

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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: 5092801647View full group profile

Name	Specialty	State
FAITH ANN ADAMS (APRN)	-	FL
DR. RYAN BENJAMIN BRENES (D.O.)	Family Practice, Emergency Medicine	FL
DR. CECILIA A COLLINS (MD)	Family Practice	FL
DR. ERICA WONG (MD)	Family Practice, Emergency Medicine	FL
MARVETTE TOOKES (ARNP)	-	PA
DONALD W III MONROE (MD)	Emergency Medicine, Family Practice	FL
NICOLE ADAMIAK (APRN)	-	UT
SUSAN M DEWITT (ARNP-C)	-	FL
DR. SEAN FRANCIS MCGRATH (M.D.)	Family Practice, Emergency Medicine	FL
DR. LARISSA SARAH BUCCOLO (M.D.)	Family Practice, Emergency Medicine	FL