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MARK PENNINGER FNP
NPI 1184010167
Nurse Practitioner - Family in Fort Worth, TX

Active since April 07, 2015PECOS EnrolledAccepts Medicare Assignment
1500 COOPER ST, FORT WORTH, TX 76104(682) 885-6299(682) 885-1090 Get Directions Write a Review

NPPES record last updated: April 19, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 19, 2021, Apr 6, 2021, Feb 20, 2018 (3 updates tracked since 2018).

About Mark Penninger Fnp NPPES

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

MARK PENNINGER FNP (NPI 1184010167) is an individual family provider in Fort Worth, Texas, licensed in Texas (AP127793) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Cook Childrens Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1184010167
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMARK PENNINGERCredential: FNP
Location Address1500 COOPER STFort Worth, TX 76104-2710
Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-1855 · Fax (682) 885-1396
Phone(682) 885-6299
Fax(682) 885-1090
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 7, 2015
Last NPPES UpdateApril 19, 20213 updates tracked since enumeration
NPPES CertifiedApril 19, 2021
✔ NPI 1184010167 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 TX · AP127793
1500 COOPER ST, Fort Worth, TX 76104
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc..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

Mark Penninger Fnp 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 ID3274852355
PECOS Enrollment IDI20150512002554
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.

Hospital Affiliations CMS Care Compare

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

Cook Childrens Medical Center

Childrens · Fort Worth, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number453300
Location801 Seventh AvenueFort Worth, TX 76104 · Tarrant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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 20

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

KATRINA L WILLIE-MUSOMA MD
Pediatrics (Neurodevelopmental Disabilities)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 303-9300
SCHARLYN R HENDERSON LCSW
Social Worker (Clinical)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-1475
GREGORY BARKER
Pediatrics (Pediatric Cardiology)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-2140
DR. ELORA PATTANAIK CORBIN M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-2500
SHANE KELLEHER PA-C
Physician Assistant
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-7840
BENJAMIN CRAIG PA-C
Physician Assistant
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-2500
DR. SHAILENDRA DAS D.O.
Pediatrics (Pediatric Pulmonology)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-6299
JAMES C CUNNINGHAM MD
Pediatrics (Pediatric Pulmonology)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-6299

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 Mark Penninger's NPI number?

The NPI number for Mark Penninger is 1184010167. It was assigned to this individual provider in the NPPES registry on April 7, 2015.

Where is Mark Penninger located?

Mark Penninger practices at 1500 Cooper St, Fort Worth, TX 76104. The listed phone number is (682) 885-6299.

What is Mark Penninger's specialty?

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

Is Mark Penninger enrolled in Medicare?

Yes. Mark Penninger 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 Mark Penninger accept?

Health plans from Imperial Insurance Companies, Inc. list Mark Penninger 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 Mark Penninger affiliated with any hospitals?

According to CMS data, Mark Penninger is affiliated with Cook Childrens Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Penninger was last updated on April 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.