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Kerryann Melissa Penny, Nurse Practitioner

Nurse Practitioner, Psych/Mental Health in Jamaica, NY. Individual provider (NPI-1).

NPI number1881978260
StatusActive
Last updated in NPPESOct 7, 2026

Details

NPI
1881978260
Entity type
Individual (NPI-1)
Name
Kerryann Melissa Penny
Credential
Nurse Practitioner
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 4, 2011
Certification date
Oct 7, 2026
Last updated
Oct 7, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - NURSE PRACTITIONER
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0808X Nurse Practitioner, Psych/Mental Health404360NYYes
163W00000X Registered Nurse646650NY

Practice location

16318 Jamaica Ave
Jamaica, NY 11432-4912

Phone 347-307-5857 · Fax 718-275-6062

Mailing address

16318 Jamaica Ave
Jamaica, NY 11432-4912

Phone 347-307-5857 · Fax 718-275-6062

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Psychiatric/Mental Health Nurse Practitioner providers in Jamaica, NY

All 35 Psychiatric/Mental Health Nurse Practitioner providers in Jamaica · All 6,245 providers in Jamaica

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