DR. DAVID EUGENE PENNER MD
NPI 1114005584
Psychiatry & Neurology - Child & Adolescent Psychiatry in Olympia, WA

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
1801 W BAY DR NW STE 104, OLYMPIA, WA 98502(360) 539-1736(360) 350-5610 Get Directions Write a Review

NPPES record last updated: May 17, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. David Eugene Penner Md NPPES

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

DR. DAVID EUGENE PENNER MD (NPI 1114005584) is an individual child & adolescent psychiatry provider in Olympia, Washington, licensed in Washington (MD60191191) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Vanderbilt University School Of Medicine (2006).

NPPES Registry Identity

NPI1114005584
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. DAVID EUGENE PENNERCredential: MD
Location Address1801 W BAY DR NW STE 104Olympia, WA 98502-4310
Mailing AddressPo Box 23Olympia, WA 98507-0023 · (360) 539-1736 · Fax (360) 350-5610
Fax(360) 350-5610
Sole ProprietorYes
Medical School CMSVanderbilt University School Of MedicineGraduated 2006
Enumeration DateNovember 1, 2006
Last NPPES UpdateMay 17, 2020
NPPES CertifiedMay 17, 2020
NPI 1114005584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License Licensed in WA · MD60191191
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License MD60191191 (WA), 228522 (MA)
1801 W BAY DR NW STE 104, Olympia, WA 98502

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

Dr. David Eugene Penner Md 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 ID3375602055
PECOS Enrollment IDI20191029003445
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 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.

Treatment using magnetic field to stimulate nerve cells in brain, subsequent delivery and management 90868
This treatment involves using a magnetic field to activate nerve cells in the brain. It's a non-invasive procedure designed to manage conditions like depression. The magnetic field is precisely targeted to stimulate specific areas of the brain to improve symptoms.
599 services19 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services15 patients
Treatment using magnetic field to stimulate nerve cells in brain, initial delivery and management 90867
This treatment involves using a magnetic field to stimulate nerve cells in the brain. It's a non-invasive procedure, meaning no surgery is required. The aim is to improve symptoms of certain mental health conditions. Initial delivery and management refers to the start of your treatment plan.
17 services15 patients

Other Providers at the Same Location NPPES

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

Psychiatry & Neurology (Psychiatry)
1801 W BAY DR NW STE 104
OLYMPIA, WA 98502

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 David Penner's NPI number?

The NPI number for David Penner is 1114005584. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is David Penner located?

David Penner practices at 1801 W Bay Dr NW Ste 104, Olympia, WA 98502. The listed phone number is (360) 539-1736.

What is David Penner's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is David Penner enrolled in Medicare?

Yes. David Penner 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 David Penner accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list David Penner 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 David Penner was last updated on May 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.