MR. KEITH EDWIN PENNER CRNA
NPI 1013944974
Nurse Anesthetist, Certified Registered in Thomasville, NC
About Mr. Keith Edwin Penner Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KEITH EDWIN PENNER CRNA (NPI 1013944974) is an individual nurse anesthetist, certified registered in Thomasville, North Carolina, licensed in North Carolina (051810) and active in the NPI registry since June 2006. He is affiliated with Novant Health Forsyth Medical Center and is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Keith Edwin Penner Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
14Medicare enrollment records show Keith Penner reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Thomasville, NC 27360
- Reassigned Medicare billing, North Carolina enrollment
- 719 clinicians in this Medicare group
Thomasville, NC 27360
- Reassigned Medicare billing, North Carolina enrollment
- 1,202 clinicians in this Medicare group
Kernersville, NC 27284
- Reassigned Medicare billing, North Carolina enrollment
- 543 clinicians in this Medicare group
Winston-salem, NC 27103
- Reassigned Medicare billing, North Carolina enrollment
- 119 clinicians in this Medicare group
Winston-salem, NC 27103
- Reassigned Medicare billing, North Carolina enrollment
- 579 clinicians in this Medicare group
Clemmons, NC 27012
- Reassigned Medicare billing, North Carolina enrollment
- 543 clinicians in this Medicare group
Greensboro, NC 27401
- Reassigned Medicare billing, North Carolina enrollment
- 63 clinicians in this Medicare group
Salisbury, NC 28144
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: Novant Health Rowan Medical Center LLC
- 686 clinicians in this Medicare group
Mooresville, NC 28117
- Reassigned Medicare billing, North Carolina enrollment
- 926 clinicians in this Medicare group
Huntersville, NC 28078
- Reassigned Medicare billing, North Carolina enrollment
- 545 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Novant Health Forsyth Medical Center
Acute Care Hospitals · Winston-Salem, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27360 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
THOMASVILLE, NC 27360
THOMASVILLE, NC 27360
THOMASVILLE, NC 27360
THOMASVILLE, NC 27360
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 Keith Penner's NPI number?
The NPI number for Keith Penner is 1013944974. It was assigned to this individual provider in the NPPES registry on June 27, 2006.
Where is Keith Penner located?
Keith Penner practices at 207 Old Lexington Rd, Thomasville, NC 27360. The listed phone number is (336) 476-2586.
What is Keith Penner's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Keith Penner enrolled in Medicare?
Yes. Keith Penner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Keith Penner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keith Penner reassigns Medicare benefits to 14 organizations: Novant Health Thomasville Medical Center, LLC (Thomasville, NC), Forsyth Memorial Hospital Inc (Thomasville, NC), Novant Health Kernersville Outpatient Surgery LLC (Kernersville, NC), Piedmont Triad Anesthesia, PA (Winston-salem, NC), Medical Park Hospital LLC (Winston-salem, NC) and 9 more organizations, listed in the Medicare section above. Each 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 Keith Penner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Keith Penner accept?
Health plans from Cigna Healthcare list Keith Penner 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.
Is Keith Penner affiliated with any hospitals?
According to CMS data, Keith Penner is affiliated with Novant Health Forsyth Medical Center.
When was this NPI record last updated?
The NPPES record for Keith Penner was last updated on October 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.
# Mr. Keith Edwin Penner, CRNA · NPI 1013944974
Nurse Anesthetist, Certified Registered physician in Thomasville, North Carolina. Individual provider, active in the CMS NPPES registry since June 27, 2006.
## Identity
- **NPI:** 1013944974 (Entity type: Individual)
- **Enumerated:** June 27, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 051810 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 207 OLD LEXINGTON RD, Thomasville, NC 27360-3428
- **Phone:** (336) 476-2586
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 14 organizations under Medicare reassignment (form CMS-855R): Novant Health Thomasville Medical Center, LLC (NPI 1033160205, Thomasville, NC); Forsyth Memorial Hospital Inc (NPI 1013226307, Thomasville, NC); Novant Health Kernersville Outpatient Surgery LLC (NPI 1730728270, Kernersville, NC); Piedmont Triad Anesthesia, PA (NPI 1467497081, Winston-salem, NC); Medical Park Hospital LLC (NPI 1003867516, Winston-salem, NC); and 9 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** October 27, 2020
- **Other identifiers:** Other 4630058715 (NC); Medicaid 8051375 (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1013944974) · Data from the CMS NPPES public registry.