TYNISE LA'SHAIE PENN N.P.
NPI 1073841011
Nurse Practitioner in Southfield, MI
About Tynise La'shaie Penn N.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYNISE LA'SHAIE PENN N.P. (NPI 1073841011) is an individual nurse practitioner in Southfield, Michigan, licensed in Michigan (4704240129) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lansing, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Accepted Insurance
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
Tynise La'shaie Penn N.p. 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.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48034 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTHFIELD, MI 48034
SOUTHFIELD, MI 48034
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 Tynise Penn's NPI number?
The NPI number for Tynise Penn is 1073841011. It was assigned to this individual provider in the NPPES registry on December 3, 2009. The provider is also known as Tynise La'shaie Gray.
Where is Tynise Penn located?
Tynise Penn practices at 29877 Telegraph Rd Ste 401, Southfield, MI 48034. The listed phone number is (248) 294-0539.
What is Tynise Penn's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Tynise Penn enrolled in Medicare?
Yes. Tynise Penn 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.
What insurance does Tynise Penn accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Tynise Penn 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 Tynise Penn was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.
