PENNY ATTAWAY (DNP) – Nurse Practitioner, NPI 1033200183

PENNY ATTAWAY (DNP) is a healthcare provider. based in Vandalia, Illinois. specializing in Nurse Practitioner. They hold the professional credentials DNP. They hold a License No. 209001693 (IL). The NPI Number for PENNY ATTAWAY (DNP) is 1033200183

Main info

Female
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
PENNY ATTAWAY (DNP)
NPI
1033200183
Phone
(618) 283-2000
Address
1404 N 5TH STREET
Enumeration Date
27 September 2006
Last Update Date
20 December 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6182832000
Graduation Year
1986 (40 years ago)
PAC ID
2466360052
Professional Enrollment ID
I20160203002470
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for PENNY ATTAWAY (DNP)

  • 1404, North 5th Street, Vandalia, Fayette County, Illinois, 62471, United States

    VANDALIA, IL 62471

    Phone: (618) 283-2000

    Fax: (618) 283-2002

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $792.

Total Amount is formed as General ($792) + Research ($0) + Ownership ($0) = $792.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: ABBVIE INC. ($520).

Total Amount

$792

General + Research + Ownership

Payments

29

Total payment records

General Amount

$792

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2016-02-03

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
I20160203002470INurse PractitionerILTBD

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
36415Insertion of needle into vein for collection of blood sample11556$0
81002Urinalysis, manual test4725$0
82962Blood glucose (sugar) test performed by hand-held instrument2011$0
View full utilization report →

Insurance plans in this area (ZIP 62471)

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Reviews

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Frequently asked questions

What is the registry number for PENNY ATTAWAY (DNP)?
The registry entry for PENNY ATTAWAY (DNP) shows NPI 1033200183.
Is PENNY ATTAWAY (DNP)'s NPI status active today?
Active status means PENNY ATTAWAY (DNP)'s NPI record is not deactivated in the public file.
What services align with PENNY ATTAWAY (DNP)'s listing?
PENNY ATTAWAY (DNP)'s public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit PENNY ATTAWAY (DNP) in Vandalia, Illinois?
For routing, start with Vandalia, Illinois for PENNY ATTAWAY (DNP), then verify phone and hours locally.
Can I export PENNY ATTAWAY (DNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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