MR. KEITH EDWIN PENNER CRNA
NPI 1013944974
Nurse Anesthetist, Certified Registered in Thomasville, NC

Active since June 27, 2006Accepts Medicare Assignment
207 OLD LEXINGTON RD, THOMASVILLE, NC 27360(336) 476-2586 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 27, 2020, Nov 26, 2015 (2 updates tracked since 2015).

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

NPI1013944974
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. KEITH EDWIN PENNERCredential: CRNA
Location Address207 OLD LEXINGTON RDThomasville, NC 27360-3428
Mailing Address207 Old Lexington RdThomasville, NC 27360-3428 · (336) 476-2586
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJune 27, 2006
Last NPPES UpdateOctober 27, 20202 updates tracked since enumeration
NPPES CertifiedOctober 27, 2020
NPI 1013944974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in NC · 051810
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
207 OLD LEXINGTON RD, Thomasville, NC 27360

Other Identifiers 2

Other4630058715NC · Rr Medicare
Medicaid8051375NC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID9436180619
PECOS Enrollment IDI20050826000879

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, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340014
Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County
Emergency services Birthing friendly

Physician 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.

New Patient
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Specialist
207 OLD LEXINGTON RD
THOMASVILLE, NC 27360
Family Medicine
207 OLD LEXINGTON RD
THOMASVILLE, NC 27360
Nurse Anesthetist, Certified Registered
207 OLD LEXINGTON RD
THOMASVILLE, NC 27360
Nurse Practitioner (Neonatal, Critical Care)
207 OLD LEXINGTON RD
THOMASVILLE, NC 27360
Internal Medicine (Critical Care Medicine)
207 OLD LEXINGTON RD
THOMASVILLE, NC 27360
Psychiatry & Neurology (Psychiatry)
207 OLD LEXINGTON RD
THOMASVILLE, NC 27360
Internal Medicine
207 OLD LEXINGTON RD
THOMASVILLE, NC 27360
Emergency Medical Technician, Basic
207 OLD LEXINGTON RD
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.

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 5 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.