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JAMES LEE PENNINGTON CRNA
NPI 1255900064
Nurse Anesthetist, Certified Registered in Erie, PA

Active since June 24, 2021PECOS EnrolledAccepts Medicare Assignment
79.52/100
CMS Quality Rating

NPPES record last updated: June 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 6, 2023, Jun 24, 2021 (2 updates tracked since 2021).

About James Lee Pennington Crna NPPES

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

JAMES LEE PENNINGTON CRNA (NPI 1255900064) is an individual nurse anesthetist, certified registered in Erie, Pennsylvania, licensed in Indiana (28272918A) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, is affiliated with Elkhart General Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1255900064
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJAMES LEE PENNINGTONCredential: CRNA
Location Address201 STATE STErie, PA 16550-0001
Mailing Address344 E 4th St Apt 2Erie, PA 16507-3604 · (304) 550-2436
Phone(814) 877-2938
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 24, 2021
Last NPPES UpdateJune 6, 20232 updates tracked since enumeration
NPPES CertifiedJune 6, 2023
✔ NPI 1255900064 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 IN · 28272918A✔ Licensed in PA · RN726958✔ Licensed in KY · 4000410
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License RN726958 (PA)
201 STATE ST, Erie, PA 16550
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

James Lee Pennington 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 ID1557741410
PECOS Enrollment IDI20220708002951, I20231019003734
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

4

Medicare enrollment records show James Pennington reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Beacon Medical Group, Inc.
277 mi
Cardiovascular Disease
2400 N VENTURA WAY
Lagrange, IN 46761
  • Reassigned Medicare billing, Indiana enrollment
  • 734 clinicians in this Medicare group
NPI 1487061131 (574) 524-7123
James Pennington Crna Services LLC
474 mi
Nurse Anesthetist, Certified Registered
1146 WASHINGTON SQ
Evansville, IN 47715
  • Reassigned Medicare billing, Indiana enrollment
NPI 1881547149 (304) 550-2436
Deaconess Hospital Inc
477 mi
Pulmonary Disease
4551 SPRINGHILL DR
Owensboro, KY 42303
  • Reassigned Medicare billing, Kentucky and Indiana enrollments
  • Also billed through NPI 1174007132 (Indiana)
  • 144 clinicians in this Medicare group
NPI 1841822327 (270) 215-3140
Methodist Health, Inc.
494 mi
Pediatrics
2000 N ELM ST
Henderson, KY 42420
  • Reassigned Medicare billing, Kentucky enrollment
  • 125 clinicians in this Medicare group
NPI 1457784126 (270) 827-3573

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.

Anesthesia for other procedure on urinary system through urethra 00910
Anesthesia for a procedure on the urinary system through the urethra involves using medicine to numb sensation in the area. This is done to ensure you feel no pain or discomfort during the procedure. The medicine can be given locally, regionally, or generally, depending on the specifics of your procedure.
18 services18 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Elkhart General Hospital

Acute Care Hospitals · Elkhart, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150018
Location600 E BlvdElkhart, IN 46514 · Elkhart County
Emergency services Birthing friendly

Deaconess Hospital Inc

Acute Care Hospitals · Evansville, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150082
Location600 Mary StEvansville, IN 47710 · Vanderburgh County
Emergency services

Gibson General Hospital

Critical Access Hospitals · Princeton, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151319
Location1808 Sherman DrPrinceton, IN 47670 · Gibson County
Emergency services

Deaconess Henderson Hospital

Acute Care Hospitals · Henderson, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180056
Location1305 N Elm StHenderson, KY 42420 · Henderson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16550 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

79.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.16
Promoting Interoperability100
Improvement Activities40
Cost50.9

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.

MRS. MARSHA SIGRID DIETRICH-MCLEAN D.O.
Hospitalist
201 STATE ST
ERIE, PA 16550
Erie County (814) 877-4922
NANCY LUCILLE KARDOS PTA
Physical Therapy Assistant
201 STATE ST
ERIE, PA 16550
Erie County (814) 877-6000
MRS. SHANNON R FOLGA MSN, CRNA
Nurse Anesthetist, Certified Registered
201 STATE ST
ERIE, PA 16550
Erie County (814) 450-0776
ALYSSA LEIGH KIMMY CRNA
Nurse Anesthetist, Certified Registered
201 STATE ST
ERIE, PA 16550
Erie County (814) 877-2621
DR. JAMES PAWLAK III DO
Emergency Medicine
201 STATE ST
ERIE, PA 16550
Erie County (814) 864-4031
HALLE KATE SNYDER
Speech-Language Pathologist
201 STATE ST
ERIE, PA 16550
Erie County (814) 877-2820
COLLEEN KASSANDRA DOMINICI PA-C
Physician Assistant (Medical)
201 STATE ST
ERIE, PA 16550
Erie County (814) 877-4922
DR. KEVIN A ANDRYC DO
Emergency Medicine
201 STATE ST
ERIE, PA 16550
Erie County (814) 877-6000

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 James Pennington's NPI number?

The NPI number for James Pennington is 1255900064. It was assigned to this individual provider in the NPPES registry on June 24, 2021.

Where is James Pennington located?

James Pennington practices at 201 State St, Erie, PA 16550. The listed phone number is (814) 877-2938.

What is James Pennington's specialty?

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

Is James Pennington enrolled in Medicare?

Yes. James 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 James Pennington's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Pennington reassigns Medicare benefits to 4 organizations: Beacon Medical Group, Inc. (Lagrange, IN), James Pennington Crna Services LLC (Evansville, IN), Deaconess Hospital Inc (Owensboro, KY) and Methodist Health, Inc. (Henderson, KY). 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 James Pennington's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Pennington accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list James Pennington 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 James Pennington affiliated with any hospitals?

According to CMS data, James Pennington is affiliated with Elkhart General Hospital, Deaconess Hospital Inc, Gibson General Hospital and Deaconess Henderson Hospital.

When was this NPI record last updated?

The NPPES record for James Pennington was last updated on June 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.