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MARY ELIZABETH PENKALA CNS
NPI 1104260413
Clinical Nurse Specialist - Adult Health in Ravenna, OH

Active since April 18, 2013PECOS EnrolledAccepts Medicare Assignment
90.9/100
CMS Quality Rating
6847 N CHESTNUT ST STE 115, RAVENNA, OH 44266(330) 297-6055 Get Directions Write a Review

NPPES record last updated: January 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Elizabeth Penkala Cns NPPES

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

MARY ELIZABETH PENKALA CNS (NPI 1104260413) is an individual adult health provider in Ravenna, Ohio, licensed in Ohio (APRN.CNS.01044) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with University Hospitals Portage Medical Center, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1104260413
Entity TypeIndividualFemale
Primary Taxonomy364SA2200X
Provider Legal NameMARY ELIZABETH PENKALACredential: CNS
Location Address6847 N CHESTNUT ST STE 115Ravenna, OH 44266-3929
Mailing Address6847 N Chestnut St Ste 115Ravenna, OH 44266-3929 · (330) 297-6055 · Fax (330) 297-4918
Phone(330) 297-6055
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateApril 18, 2013
Last NPPES UpdateJanuary 15, 2021
NPPES CertifiedDecember 22, 2020
✔ NPI 1104260413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SA2200X
License✔ Licensed in OH · APRN.CNS.01044
6847 N CHESTNUT ST STE 115, Ravenna, OH 44266
Open in Google Maps ↗

Other Identifiers 1

Medicaid0083512OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource, MedMutual.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

Mary Elizabeth Penkala Cns 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 ID8325286016
PECOS Enrollment IDI20130608000206
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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
381 services146 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Hospitals Portage Medical Center

Acute Care Hospitals · Ravenna, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360078
Location6847 N ChestnutRavenna, OH 44266 · Portage County
Emergency services

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360137
Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44266 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.8
Promoting Interoperability100
Improvement Activities40

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 Mary Penkala's NPI number?

The NPI number for Mary Penkala is 1104260413. It was assigned to this individual provider in the NPPES registry on April 18, 2013.

Where is Mary Penkala located?

Mary Penkala practices at 6847 N Chestnut St Ste 115, Ravenna, OH 44266. The listed phone number is (330) 297-6055.

What is Mary Penkala's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Adult Health, with taxonomy code 364SA2200X.

Is Mary Penkala enrolled in Medicare?

Yes. Mary Penkala 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 Mary Penkala accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource and MedMutual list Mary Penkala 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 Mary Penkala affiliated with any hospitals?

According to CMS data, Mary Penkala is affiliated with University Hospitals Portage Medical Center and Uh Cleveland Medical Center.

When was this NPI record last updated?

The NPPES record for Mary Penkala was last updated on January 15, 2021. 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.