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EMMA ELEANOR TAYLOR PENNOCK PA-C
NPI 1053872895
Physician Assistant in Boston, MA

Active since March 26, 2019PECOS EnrolledAccepts Medicare Assignment
60 FENWOOD RD, BOSTON, MA 02115(617) 732-6600 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 25, 2022, Oct 28, 2019, Oct 4, 2019 (3 updates tracked since 2019).

About Emma Eleanor Taylor Pennock Pa-c NPPES

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

EMMA ELEANOR TAYLOR PENNOCK PA-C (NPI 1053872895) is an individual physician assistant in Boston, Massachusetts, licensed in Rhode Island (PA01343) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Weymouth, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1053872895
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameEMMA ELEANOR TAYLOR PENNOCKCredential: PA-C
Location Address60 FENWOOD RDBoston, MA 02115
Mailing Address117 Ellenfield St Ste 101Providence, RI 02905-4541
Phone(617) 732-6600
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 26, 2019
Last NPPES UpdateJanuary 30, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2024
✔ NPI 1053872895 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 RI · PA01343
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.
60 FENWOOD RD, Boston, MA 02115
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Secondary Practice Location 1

Location 155 Fogg RdWeymouth, MA 02190-2432 · Phone (781) 624-8000

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

Emma Eleanor Taylor Pennock Pa-c 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 ID9436481595
PECOS Enrollment IDI20260331000101
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 02115 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

DR. JOSEPH JEFFREY TAYLOR M.D., PH.D.
Psychiatry & Neurology (Psychiatry)
60 FENWOOD RD
BOSTON, MA 02115
Suffolk County (617) 732-5500
DR. BENJAMIN ROCHE JOHNSTON M.D., PH.D.
Neurological Surgery
60 FENWOOD RD
BOSTON, MA 02115
Suffolk County (617) 732-5500
DR. JUSTIN J FRERE MD, PHD
Student in an Organized Health Care Education/Training Program
60 FENWOOD RD
BOSTON, MA 02115
Suffolk County (617) 732-6753
BRIAN LUSBY MD, MSC
Psychiatry & Neurology (Psychiatry)
60 FENWOOD RD
BOSTON, MA 02115
Suffolk County (617) 732-6753
LOUISA GRACE ADAMA AJA MD
Student in an Organized Health Care Education/Training Program
60 FENWOOD RD
BOSTON, MA 02115
Suffolk County (617) 732-6753
RACHAEL ROSALES
Psychiatry & Neurology (Psychiatry)
60 FENWOOD RD
BOSTON, MA 02115
Suffolk County (617) 732-5056
WILLIAM FRENCH
Psychiatry & Neurology (Psychiatry)
60 FENWOOD RD
BOSTON, MA 02115
Suffolk County (617) 732-5056
GRACE LIANG JOHNSON MD
Student in an Organized Health Care Education/Training Program
60 FENWOOD RD
BOSTON, MA 02115
Suffolk County (617) 732-6753

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 Emma Pennock's NPI number?

The NPI number for Emma Pennock is 1053872895. It was assigned to this individual provider in the NPPES registry on March 26, 2019.

Where is Emma Pennock located?

Emma Pennock practices at 60 Fenwood Rd, Boston, MA 02115. The listed phone number is (617) 732-6600.

What is Emma Pennock's specialty?

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

Is Emma Pennock enrolled in Medicare?

Yes. Emma Pennock 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.

When was this NPI record last updated?

The NPPES record for Emma Pennock was last updated on January 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.