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DAWN M PENNINGTON APRN
NPI 1104645761
Nurse Practitioner - Family in Middletown, KY

Active since October 09, 2024PECOS EnrolledAccepts Medicare Assignment
12501 SHELBYVILLE RD, MIDDLETOWN, KY 40243(502) 536-7224(888) 419-6943 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 12, 2025, Oct 9, 2024 (2 updates tracked since 2024).

About Dawn M Pennington Aprn NPPES

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

DAWN M PENNINGTON APRN (NPI 1104645761) is an individual family provider in Middletown, Kentucky, licensed in Kentucky (4015941) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104645761
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDAWN M PENNINGTONCredential: APRN
Location Address12501 SHELBYVILLE RDMiddletown, KY 40243-1530
Mailing AddressPo Box 932958Cleveland, OH 44193-0028
Phone(502) 536-7224
Fax(888) 419-6943
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 9, 2024
Last NPPES UpdateJuly 25, 20252 updates tracked since enumeration
NPPES CertifiedJuly 25, 2025
✔ NPI 1104645761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 4015941
12501 SHELBYVILLE RD, Middletown, KY 40243
Open in Google Maps ↗

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

Dawn M Pennington Aprn 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 ID1850825175
PECOS Enrollment IDI20241108003149
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Dawn Pennington reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kiosk Medicine Kentucky LLC
6.1 mi
Family
3039 BRECKENRIDGE LN
Louisville, KY 40220
  • Reassigned Medicare billing, Kentucky enrollment
  • 488 clinicians in this Medicare group
NPI 1205885035 (502) 451-4555
Signify Health, LLC
735 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Kentucky enrollment
  • 390 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

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 2

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
157 services157 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40243 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLIE ABBOTT
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
12501 SHELBYVILLE RD
MIDDLETOWN, KY 40243
Jefferson County (502) 244-7960
KALI MOLLER PHARMD
Pharmacist
12501 SHELBYVILLE RD
LOUISVILLE, KY 40243
Jefferson County (502) 244-7960
LAUREN KENNEDY BICKETT APRN
Nurse Practitioner (Family)
12501 SHELBYVILLE RD
MIDDLETOWN, KY 40243
Jefferson County (270) 940-1632
LUCIE A MEFFERT APRN
Nurse Practitioner (Family)
12501 SHELBYVILLE RD
MIDDLETOWN, KY 40243
Jefferson County (502) 253-2047
DAWN MICHELE SHEEHAN APRN, FNP-C
Nurse Practitioner (Family)
12501 SHELBYVILLE RD
MIDDLETOWN, KY 40243
Jefferson County (502) 253-2047
DANIEL PRESTON NALL
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
12501 SHELBYVILLE RD
LOUISVILLE, KY 40243
Jefferson County (502) 244-7960
KROGER LIMITED PARTNERSHIP I
Pharmacy (Community/Retail Pharmacy)
12501 SHELBYVILLE RD
MIDDLETOWN, KY 40243
Jefferson County (502) 244-7960
DR. MARIE JEWELL PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
12501 SHELBYVILLE RD
LOUISVILLE, KY 40243
Jefferson County (502) 244-7960

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 Dawn Pennington's NPI number?

The NPI number for Dawn Pennington is 1104645761. It was assigned to this individual provider in the NPPES registry on October 9, 2024.

Where is Dawn Pennington located?

Dawn Pennington practices at 12501 Shelbyville Rd, Middletown, KY 40243. The listed phone number is (502) 536-7224.

What is Dawn Pennington's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Dawn Pennington enrolled in Medicare?

Yes. Dawn Pennington 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 Dawn Pennington's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dawn Pennington reassigns Medicare benefits to 2 organizations: Kiosk Medicine Kentucky LLC (Louisville, KY) and Signify Health, LLC (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 Dawn Pennington's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dawn Pennington was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.