REGGIE PENNYPACKER, APRN-CNP, PLLC
NPI 1013578954
Clinic/Center - Rural Health in Duncan, OK

Active since June 21, 2019CLIA 37D2169018 · Waiver
3125 BROOKWOOD AVE, DUNCAN, OK 73533(580) 786-4018(580) 786-4018 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Reggie Pennypacker, Aprn-cnp, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REGGIE PENNYPACKER, APRN-CNP, PLLC (NPI 1013578954) is a healthcare organization registered as a rural health in Duncan, Oklahoma and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through July 14, 2027 and lists Reggie Darnell Pennypacker, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1013578954
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameREGGIE PENNYPACKER, APRN-CNP, PLLC
Location Address3125 BROOKWOOD AVEDuncan, OK 73533-1362
Mailing Address3125 Brookwood AveDuncan, OK 73533-1362 · (580) 786-4018 · Fax (580) 786-4018
Fax(580) 786-4018
Organization SubpartNo
Authorized OfficialReggie Darnell PennypackerNurse Practitioner · (580) 656-6661
Enumeration DateJune 21, 2019
Last NPPES UpdateApril 25, 2025
NPPES CertifiedApril 25, 2025
NPI 1013578954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
3125 BROOKWOOD AVE, Duncan, OK 73533

Other Identifiers 1

Other1275960304OK · Npi Number

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2169018

Reggie Pennypacker Aprn-Cnp, PLLC · Duncan, OK
Active · expires Jul 14, 2027
CLIA Number37D2169018
Laboratory TypeNurse Practioner
Certificate Effective DateJuly 15, 2025
Certificate Expiration DateJuly 14, 2027
Laboratory DirectorReggie D. Pennypacker
Laboratory Phone(580) 786-4018
Laboratory LocationReggie Pennypacker Aprn-Cnp, PLLC1611 Brookwood Ave, Duncan, OK 73533
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
3125 BROOKWOOD AVE
DUNCAN, OK 73533
Nurse Practitioner (Family)
3125 BROOKWOOD AVE
DUNCAN, OK 73533
Marriage & Family Therapist
3125 BROOKWOOD AVE
DUNCAN, OK 73533

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Reggie Pennypacker, Aprn-Cnp, PLLC's NPI number?

The NPI number for Reggie Pennypacker, Aprn-Cnp, PLLC is 1013578954. It was assigned to this organization in the NPPES registry on June 21, 2019.

Where is Reggie Pennypacker, Aprn-Cnp, PLLC located?

Reggie Pennypacker, Aprn-Cnp, PLLC is located at 3125 Brookwood Ave, Duncan, OK 73533. The listed phone number is (580) 786-4018.

What is Reggie Pennypacker, Aprn-Cnp, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Reggie Pennypacker, Aprn-Cnp, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2169018) is associated with this NPI, valid through July 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Reggie Pennypacker, Aprn-Cnp, PLLC was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.