TYNISE LA'SHAIE PENN N.P.
NPI 1073841011
Nurse Practitioner - Adult Health in Lansing, 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 adult health provider in Lansing, Michigan, licensed in Michigan (4704240129) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS, is affiliated with Saint Joseph Mercy Livingston Hospital, and maintains a secondary practice location in Southfield.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Tynise Penn reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lansing, MI 48910
- Reassigned Medicare billing, Michigan enrollment
Southfield, MI 48034
- Reassigned Medicare billing, Michigan enrollment
- 26 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Michigan enrollment
- 666 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.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Joseph Mercy Livingston Hospital
Acute Care Hospitals · Howell, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48910 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LANSING, MI 48910
LANSING, MI 48910
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 405 W Greenlawn Ave Ste G11, Lansing, MI 48910. The listed phone number is (313) 346-4240.
What is Tynise Penn's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
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.
Which organizations bill Medicare for Tynise Penn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tynise Penn reassigns Medicare benefits to 3 organizations: Virtual Wellness Care, LLC (Lansing, MI), Commerce Sports And Spine PLLC (Southfield, MI) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Tynise Penn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tynise Penn accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers 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.
Is Tynise Penn affiliated with any hospitals?
According to CMS data, Tynise Penn is affiliated with Saint Joseph Mercy Livingston Hospital.
When was this NPI record last updated?
The NPPES record for Tynise Penn was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Tynise La'shaie Penn, N.P. · NPI 1073841011
Adult Health physician in Lansing, Michigan. Individual provider, active in the CMS NPPES registry since December 3, 2009.
## Identity
- **NPI:** 1073841011 (Entity type: Individual)
- **Enumerated:** December 3, 2009
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 4704240129 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 405 W GREENLAWN AVE STE G11, Lansing, MI 48910-2889
- **Phone:** (313) 346-4240 · **Fax:** (313) 346-4241
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Virtual Wellness Care, LLC (NPI 1447190020, Lansing, MI); Commerce Sports And Spine PLLC (NPI 1720629157, Southfield, MI); Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** October 16, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1073841011) · Data from the CMS NPPES public registry.