REGGIE PENNYPACKER, APRN-CNP, PLLC
NPI 1013578954
Clinic/Center - Rural Health in Duncan, OK
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
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Reggie Pennypacker, Aprn-cnp, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Reggie Pennypacker, Aprn-Cnp, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, OKFrequently 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.
Is Reggie Pennypacker, Aprn-Cnp, PLLC enrolled in Medicare?
Yes. Reggie Pennypacker, Aprn-Cnp, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Reggie Pennypacker, Aprn-Cnp, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Reggie Pennypacker, Aprn-Cnp, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Marriage and Family Therapist (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
What insurance does Reggie Pennypacker, Aprn-Cnp, PLLC accept?
Health plans from Blue Cross and Blue Shield of Oklahoma list Reggie Pennypacker, Aprn-Cnp, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 18 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.
# Reggie Pennypacker, Aprn-Cnp, Pllc · NPI 1013578954
Rural Health organization in Duncan, Oklahoma. Organization record, active in the CMS NPPES registry since June 21, 2019.
## Identity
- **NPI:** 1013578954 (Entity type: Organization)
- **Enumerated:** June 21, 2019
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** No
- **Authorized official:** Reggie Pennypacker, NURSE PRACTITIONER
## Practice location
- **Address:** 3125 BROOKWOOD AVE, Duncan, OK 73533-1362
- **Phone:** (580) 786-4018 · **Fax:** (580) 786-4018
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Marriage and Family Therapist (1); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 25, 2025
- **Other identifiers:** Other 1275960304 (OK)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1013578954) · Data from the CMS NPPES public registry.