DR. MARLA B PENNELL (AUD CCC-A) – Audiologist, NPI 1174559017

DR. MARLA B PENNELL (AUD CCC-A) is a healthcare provider. based in Georgetown, Texas. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AUD CCC-A. They hold a License No. 50953 (TX). The NPI Number for DR. MARLA B PENNELL (AUD CCC-A) is 1174559017

Main info

Female
34 Years Of Experience
Name
DR. MARLA B PENNELL (AUD CCC-A)
NPI
1174559017
Phone
(512) 940-8551
Address
375 TWIN SPRINGS RD
Enumeration Date
23 June 2006
Last Update Date
20 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8302402826
Graduation Year
1992 (34 years ago)
PAC ID
5496842411
Group Practice PAC ID
5395111074
Professional Enrollment ID
I20071107000348
Address ID
TX781555392SE105XXMEDI200
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

665 QUALIFIED AUDIOLOGIST in TX

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Provider Addresses for DR. MARLA B PENNELL (AUD CCC-A)

  • 375, Twin Springs Road, Georgetown, Williamson County, Texas, 78633, United States

    GEORGETOWN, TX 786284371

    Phone: (512) 940-8551

    Fax: (512) 868-1011

    Type: Mailing

  • 100 RIVER HILLS DR STE 105

    GEORGETOWN, TX 786283682

    Phone: (512) 763-8855

    Type: Mailing

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: 2007-11-07

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
I20071107000348IQualified AudiologistTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78628)

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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: 5395111074View full group profile
NameSpecialtyState
Qualified AudiologistTX
Qualified AudiologistTX
Qualified AudiologistTX

Reviews

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Frequently asked questions

Is there an official ID for DR. MARLA B PENNELL (AUD CCC-A) in U.S. healthcare records?
The official identifier for DR. MARLA B PENNELL (AUD CCC-A) is NPI 1174559017.
Is DR. MARLA B PENNELL (AUD CCC-A) still an active registrant?
DR. MARLA B PENNELL (AUD CCC-A) carries an active NPI according to the public dataset.
How would a patient describe DR. MARLA B PENNELL (AUD CCC-A)'s focus?
For DR. MARLA B PENNELL (AUD CCC-A), the primary taxonomy reads as Audiologist. Clinical services aligned with this taxonomy classification.
Is DR. MARLA B PENNELL (AUD CCC-A) associated with Georgetown?
Public fields place DR. MARLA B PENNELL (AUD CCC-A) around Georgetown, Texas. Always confirm the exact site before visiting.
Does DR. MARLA B PENNELL (AUD CCC-A) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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