MARY ELIZABETH PENKALA CNS
NPI 1104260413
Clinical Nurse Specialist - Adult Health in Ravenna, OH
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 Summa Health System, and is a graduate of Other (1989).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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
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.
Medicare Billing Reassignment
Medicare enrollment records show Mary Penkala reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Streetsboro, OH 44241
- Reassigned Medicare billing, Ohio enrollment
- 1,437 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
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 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Summa Health System
Acute Care Hospitals · Akron, OHUniversity Hospitals Portage Medical Center
Acute Care Hospitals · Ravenna, OHUh Cleveland Medical Center
Acute Care Hospitals · Cleveland, OHPhysician 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.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organization bills Medicare for Mary Penkala's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Penkala reassigns Medicare benefits to University Primary Care Practices, Inc. (Streetsboro, OH). The 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 Mary Penkala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Penkala accept?
Health plans from Anthem Blue Cross and Blue Shield, 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 Summa Health System, 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.
# Mary Elizabeth Penkala, CNS · NPI 1104260413
Adult Health physician in Ravenna, Ohio. Individual provider, active in the CMS NPPES registry since April 18, 2013.
## Identity
- **NPI:** 1104260413 (Entity type: Individual)
- **Enumerated:** April 18, 2013
- **Primary specialty:** Clinical Nurse Specialist - Adult Health · taxonomy 364SA2200X
- **State license:** APRN.CNS.01044 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 6847 N CHESTNUT ST STE 115, Ravenna, OH 44266-3929
- **Phone:** (330) 297-6055
## 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:** University Primary Care Practices, Inc. (NPI 1992179493, Streetsboro, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1989
## Record status
- **NPPES last updated:** January 15, 2021
- **Other identifiers:** Medicaid 0083512 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1104260413) · Data from the CMS NPPES public registry.