ASHLEY O PENNINGTON (FNP) – Family Nurse Practitioner, NPI 1629018981
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ASHLEY O PENNINGTON (FNP)
5683 S REX RD
MEMPHIS, TN 381193821
Phone: (901) 350-0678
Fax: (901) 350-0677
Type: Location
Lakeview Road, Somerville, Fayette County, West Tennessee, Tennessee, 38068, United States
SOMERVILLE, TN 38068
Phone: (901) 465-5466
Fax: (901) 465-9048
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 71 Open Payments records for all available years, with a total value of $1,429.
Total Amount is formed as General ($1,429) + Research ($0) + Ownership ($0) = $1,429.
Last reported payment date: 2024-12-27 • Largest payer in this snapshot: Boston Scientific Corporation ($590).
Total Amount
$1,429
General + Research + Ownership
Payments
71
Total payment records
General Amount
$1,429
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-27
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: 2004-06-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (925 days ago).
Enrollment records
1
Earliest due date
2023-11-30
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 |
|---|---|---|---|---|
| I20040614001127 | I | Nurse Practitioner | TN | 2023-11-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 465 | 125 | $0 |
| 80305 | Testing for presence of drug, read by direct observation | 158 | 98 | $0 |
| G2011 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention, 5-14 minutes | 88 | 88 | $0 |
| 96136 | Administration of psychological or neuropsychological test, first 30 minutes | 54 | 54 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 46 | 38 | $0 |
Insurance plans in this area (ZIP 38119)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| Anesthesiology, Interventional Pain Management, Anesthesiology, Pain Management, Interventional Pain Management | TN | |
| Nurse Practitioner | MS |
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