MRS. PENNY RENE O'BRIEN-BLACK (CNP, RN) – Adult Health Nurse Practitioner, NPI 1114164324

MRS. PENNY RENE O'BRIEN-BLACK (CNP, RN) is a healthcare provider. based in Bedford, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP, RN. They hold a License No. NP-10452 (OH). The NPI Number for MRS. PENNY RENE O'BRIEN-BLACK (CNP, RN) is 1114164324

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
MRS. PENNY RENE O'BRIEN-BLACK (CNP, RN)
NPI
1114164324
Phone
(216) 524-7377
Address
19999 ROCKSIDE RD
Enumeration Date
9 January 2009
Last Update Date
10 December 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2008 (18 years ago)
PAC ID
2264580414
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20090428000491
Address ID
OH441950001CL9500XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

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Provider Addresses for MRS. PENNY RENE O'BRIEN-BLACK (CNP, RN)

  • MetroHealth, 19999, Rockside Road, Bedford, Cuyahoga County, Ohio, 44146, United States

    BEDFORD, OH 441462074

    Phone: (216) 524-7377

    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)

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: 2009-04-28

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
I20090428000491INurse PractitionerOHTBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes213205$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2929$0
View full utilization report →

Insurance plans in this area (ZIP 44146)

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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: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN
Nurse PractitionerOH

Reviews

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Frequently asked questions

Where can patients find MRS. PENNY RENE O'BRIEN-BLACK (CNP, RN)'s NPI?
You can confirm MRS. PENNY RENE O'BRIEN-BLACK (CNP, RN) with NPI 1114164324; it appears in the national provider directory.
Is MRS. PENNY RENE O'BRIEN-BLACK (CNP, RN) currently active in the NPI registry?
CMS-published data lists MRS. PENNY RENE O'BRIEN-BLACK (CNP, RN) as an active registrant.
Can you summarize MRS. PENNY RENE O'BRIEN-BLACK (CNP, RN)'s specialty in plain language?
Clinically, the directory lists MRS. PENNY RENE O'BRIEN-BLACK (CNP, RN) with Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MRS. PENNY RENE O'BRIEN-BLACK (CNP, RN)'s primary listing?
We display Bedford, Ohio because that is what the record indicates for MRS. PENNY RENE O'BRIEN-BLACK (CNP, RN).
Is MRS. PENNY RENE O'BRIEN-BLACK (CNP, RN) a real provider?
This page reflects official NPPES data for NPI 1114164324. Always confirm identity and privileges with the practice and licensing boards.

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