JOSEPH C. PENICK III CRNA
NPI 1184022964
Nurse Anesthetist, Certified Registered in Fort Bragg, NC

Active since December 10, 2014Accepts Medicare Assignment
88.32/100
CMS Quality Rating
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310(706) 768-0496 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 5, 2026, May 8, 2025, Oct 1, 2015 (3 updates tracked since 2015).

About Joseph C. Penick Iii Crna NPPES

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

JOSEPH C. PENICK III CRNA (NPI 1184022964) is an individual nurse anesthetist, certified registered in Fort Bragg, North Carolina, licensed in North Carolina (6188) and active in the NPI registry since December 2014. He is affiliated with Cape Fear Valley Medical Center, maintains 3 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1184022964
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJOSEPH C. PENICK IIICredential: CRNA
Location Address2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTERFort Bragg, NC 28310-0001
Mailing Address2817 Rock Merritt Ave Womack Army Medical CenterFort Bragg, NC 28310-0001 · (706) 768-0496
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 10, 2014
Last NPPES UpdateAugust 5, 20263 updates tracked since enumeration
NPPES CertifiedAugust 5, 2026
✔ NPI 1184022964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in NC · 6188✔ Licensed in GA · RN211608
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN211608 (GA)
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER, Fort Bragg, NC 28310

Secondary Practice Locations 3

Location 11638 Owen DrFayetteville, NC 28304-3424 · Phone (910) 615-5132 · Fax (910) 321-6236
Location 2210 Medical Pavilion DrRaeford, NC 28376-9111 · Phone (910) 904-8000
Location 3800 Tilghman DrDunn, NC 28334-5510 · Phone (910) 892-1000

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

Joseph C. Penick Iii Crna 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 ID3678891140
PECOS Enrollment IDI20191119001178

Medicare Billing Reassignments

2

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

Family Medicine
1248 FORT BRAGG RD STE 101
Fayetteville, NC 28305
  • Reassigned Medicare billing, North Carolina enrollment
  • 906 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
155 MEMORIAL DR
Pinehurst, NC 28374
  • Reassigned Medicare billing, North Carolina enrollment
  • 154 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.

Hospital Affiliations CMS Care Compare 2

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

Cape Fear Valley Medical Center

Acute Care Hospitals · Fayetteville, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340028
Location1638 Owen Drive P O Box 2000Fayetteville, NC 28302 · Cumberland County
Emergency services Birthing friendly

Firsthealth Moore Regional Hospital

Acute Care Hospitals · Pinehurst, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340115
Location155 Memorial DrivePinehurst, NC 28374 · Moore County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28310 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

88.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.79
Promoting Interoperability88
Improvement Activities40
Cost86.81

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.

Nurse Practitioner (Family)
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
Social Worker (Clinical)
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
FORT LIBERTY, NC 28310
General Practice
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
Dentist (General Practice)
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
Family Medicine
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
Psychologist (Clinical)
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
Social Worker (Clinical)
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
FORT LIBERTY, NC 28310
Psychologist (Clinical)
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310

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 Joseph Penick's NPI number?

The NPI number for Joseph Penick is 1184022964. It was assigned to this individual provider in the NPPES registry on December 10, 2014.

Where is Joseph Penick located?

Joseph Penick practices at 2817 Rock Merritt Ave Womack Army Medical Center, Fort Bragg, NC 28310. The listed phone number is (706) 768-0496.

What is Joseph Penick's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Joseph Penick enrolled in Medicare?

Yes. Joseph Penick 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 Joseph Penick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Penick reassigns Medicare benefits to 2 organizations: Cumberland County Hospital System Inc (Fayetteville, NC) and Firsthealth Of The Carolinas, Inc (Pinehurst, NC). 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 Joseph Penick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Joseph Penick affiliated with any hospitals?

According to CMS data, Joseph Penick is affiliated with Cape Fear Valley Medical Center and Firsthealth Moore Regional Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Penick was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.