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HALEY ELAINE PENKAL
NPI 1053254128
Physician Assistant in Dayton, OH

Active since April 13, 2026PECOS Enrolled
1 WYOMING ST, DAYTON, OH 45409(937) 709-5051(937) 709-5050 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 21, 2026, Apr 13, 2026 (2 updates tracked since 2026).

About Haley Elaine Penkal NPPES

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

HALEY ELAINE PENKAL (NPI 1053254128) is an individual physician assistant in Dayton, Ohio, licensed in Ohio (50.010175RX) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1053254128
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHALEY ELAINE PENKAL
Location Address1 WYOMING STDayton, OH 45409-2722
Mailing Address113 Frahn AveFairborn, OH 45324-3808
Phone(937) 709-5051
Fax(937) 709-5050
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 13, 2026
Last NPPES UpdateMay 21, 20262 updates tracked since enumeration
NPPES CertifiedMay 21, 2026
✔ NPI 1053254128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OH · 50.010175RX
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1 WYOMING ST, Dayton, OH 45409
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Secondary Practice Locations 2

Location 1PO Box 750243Dayton, OH 45475-0243 · Phone (877) 235-7686
Location 29000 N Main St Ste 233Englewood, OH 45415-1184 · Phone (937) 832-9310 · Fax (937) 832-8613

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Haley Elaine Penkal is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820567944
PECOS Enrollment IDI20260519001621
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45409 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

DANIEL NGUYEN
Student in an Organized Health Care Education/Training Program
1 WYOMING ST
DAYTON, OH 45409
Montgomery County (937) 208-3882
KATHY WAYMIRE CRNA
Nurse Anesthetist, Certified Registered
1 WYOMING ST
DAYTON, OH 45409
Montgomery County (800) 394-4445
DR. RORY JON PEPPARD M.D.
Pediatrics (Neonatal-Perinatal Medicine)
1 WYOMING ST, NEONATOLOGY OFFICE
DAYTON, OH 45409
Montgomery County (937) 208-2907
DR. DANIEL PHILLIP PITSTICK D.O.
Emergency Medicine
1 WYOMING ST
DAYTON, OH 45409
Montgomery County (937) 208-3356
DR. WILLIAM R. MARRIOTT M.D.
Emergency Medicine
1 WYOMING ST
DAYTON, OH 45409
Montgomery County (513) 281-4400
MIAMI VALLEY HOSPITAL
Psychiatric Unit
1 WYOMING ST
DAYTON, OH 45409
Montgomery County (937) 208-8000
LEILA CONSTANCE TOU
Student in an Organized Health Care Education/Training Program
1 WYOMING ST
DAYTON, OH 45409
Montgomery County (937) 208-2866
DR. JARED COTTINGIM RPH
Pharmacist
1 WYOMING ST
DAYTON, OH 45409
Montgomery County (937) 208-3195

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 Haley Penkal's NPI number?

The NPI number for Haley Penkal is 1053254128. It was assigned to this individual provider in the NPPES registry on April 13, 2026.

Where is Haley Penkal located?

Haley Penkal practices at 1 Wyoming St, Dayton, OH 45409. The listed phone number is (937) 709-5051.

What is Haley Penkal's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Haley Penkal enrolled in Medicare?

Yes. Haley Penkal is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Haley Penkal was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.