JOHN ANTHONY PENUNURI FNP-C
NPI 1134553142
Nurse Practitioner - Family in Sierra Vista, AZ
About John Anthony Penunuri Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN ANTHONY PENUNURI FNP-C (NPI 1134553142) is an individual family provider in Sierra Vista, Arizona, licensed in Arizona (AP5169) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John Anthony Penunuri Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show John Penunuri reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sierra Vista, AZ 85635
- Reassigned Medicare billing, Arizona enrollment
- 239 clinicians in this Medicare group
Hereford, AZ 85615
- Reassigned Medicare billing, Arizona enrollment
- 128 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85635 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SIERRA VISTA, AZ 85635
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 John Penunuri's NPI number?
The NPI number for John Penunuri is 1134553142. It was assigned to this individual provider in the NPPES registry on August 26, 2013.
Where is John Penunuri located?
John Penunuri practices at 5700 Az-90, Sierra Vista, AZ 85635. The listed phone number is (520) 263-2453.
What is John Penunuri's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is John Penunuri enrolled in Medicare?
Yes. John Penunuri is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for John Penunuri's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Penunuri reassigns Medicare benefits to 2 organizations: Sound Physicians Emergency Medicine Of Arizona, Inc. (Sierra Vista, AZ) and Bisbee Hospital Association (Hereford, AZ). 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 John Penunuri'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 John Penunuri was last updated on December 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# John Anthony Penunuri, FNP-C · NPI 1134553142
Family physician in Sierra Vista, Arizona. Individual provider, active in the CMS NPPES registry since August 26, 2013.
## Identity
- **NPI:** 1134553142 (Entity type: Individual)
- **Enumerated:** August 26, 2013
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP5169 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5700 AZ-90, Sierra Vista, AZ 85635-2812
- **Phone:** (520) 263-2453
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Sound Physicians Emergency Medicine Of Arizona, Inc. (NPI 1700328663, Sierra Vista, AZ); Bisbee Hospital Association (NPI 1225438104, Hereford, AZ) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 20, 2016
---
Source: [NPI Profile](https://npiprofile.com/npi/1134553142) · Data from the CMS NPPES public registry.