HEATHER ANN PENNING (CNP) – Adult Health Nurse Practitioner, NPI 1700071248

HEATHER ANN PENNING (CNP) is a healthcare provider. based in Fridley, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. R 132897-2 (MN). The NPI Number for HEATHER ANN PENNING (CNP) is 1700071248

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
HEATHER ANN PENNING (CNP)
NPI
1700071248
Phone
(763) 786-1620
Address
480 OSBORNE RD NE
Enumeration Date
7 September 2007
Last Update Date
13 November 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7635812800
Graduation Year
2007 (19 years ago)
PAC ID
5698863249
Group Practice PAC ID
0042123028
Professional Enrollment ID
I20071114000443
Address ID
MN554222969RO3435XAVEX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:18State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

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Provider Addresses for HEATHER ANN PENNING (CNP)

  • 480, Osborne Road Northeast, Fridley, Anoka County, Minnesota, 55432, United States

    SUITE 220

    FRIDLEY, MN 554322773

    Phone: (763) 786-1620

    Fax: (763) 780-3099

    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 3 Open Payments records for all available years, with a total value of $54.

Total Amount is formed as General ($54) + Research ($0) + Ownership ($0) = $54.

Last reported payment date: 2024-07-31 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($39).

Total Amount

$54

General + Research + Ownership

Payments

3

Total payment records

General Amount

$54

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-31

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: 2007-11-14

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
I20071114000443INurse PractitionerMNTBD

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
99215Established patient office or other outpatient visit, 40-54 minutes217116$0
99214Established patient office or other outpatient visit, 30-39 minutes9678$0
99213Established patient office or other outpatient visit, 20-29 minutes1614$0
View full utilization report →

Insurance plans in this area (ZIP 55432)

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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: 0042123028View full group profile
NameSpecialtyState
Physician AssistantMN
-MN
-KY
Internal MedicineMN
-MN
Cardiovascular Disease (Cardiology)MN
-WI
Medical Oncology, HematologyMN
Certified Registered Nurse Anesthetist (Crna)MN
N E U R O S U R G E R YCO

Reviews

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Frequently asked questions

Where can patients find HEATHER ANN PENNING (CNP)'s NPI?
You can confirm HEATHER ANN PENNING (CNP) with NPI 1700071248; it appears in the national provider directory.
Is HEATHER ANN PENNING (CNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does HEATHER ANN PENNING (CNP) work in?
You can think of HEATHER ANN PENNING (CNP) as practicing within Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does HEATHER ANN PENNING (CNP) practice in Minnesota?
You will see Fridley, Minnesota on file for HEATHER ANN PENNING (CNP) alongside any extra practice locations.
Is HEATHER ANN PENNING (CNP) a real provider?
This page reflects official NPPES data for NPI 1700071248. Always confirm identity and privileges with the practice and licensing boards.

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