MARY ELIZABETH PENKALA (CNS) – Adult Health Clinical Nurse Specialist, NPI 1104260413
Adult Health Clinical Nurse Specialist
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
228 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in OH
Provider Addresses for MARY ELIZABETH PENKALA (CNS)
1044 BELMONT AVE
YOUNGSTOWN, OH 445041006
Phone: (330) 480-2199
Fax: (330) 480-2071
Type: Mailing
6847 N CHESTNUT ST STE 115
RAVENNA, OH 442663929
Phone: (330) 297-6055
Fax: (330) 297-4918
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 28 Open Payments records for all available years, with a total value of $488.
Total Amount is formed as General ($488) + Research ($0) + Ownership ($0) = $488.
Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Collegium Pharmaceutical, Inc. ($261).
Total Amount
$488
General + Research + Ownership
Payments
28
Total payment records
General Amount
$488
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2013-06-08
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130608000206 | I | Certified Clinical Nurse Specialist (Cns) | OH | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 352 | 136 | $0 |
Insurance plans in this area (ZIP 44504)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| - | OH | |
| - | IL | |
| - | OH | |
| - | OH | |
| - | OH | |
| - | OH | |
| Cardiovascular Disease (Cardiology), Internal Medicine | NC | |
| - | OH | |
| A N E S T H E S I O L O G Y | OH |
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