HOLLY PENKACIK APRN
NPI 1285186288
Nurse Practitioner - Adult Health in West Haven, CT

Active since October 26, 2016PECOS EnrolledAccepts Medicare Assignment
90.74/100
CMS Quality Rating
1 CELLINI PL STE 102, WEST HAVEN, CT 06516(203) 932-6481(203) 932-4051 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 21, 2023, Mar 13, 2023, May 28, 2021 and 3 more (6 updates tracked since 2016).

About Holly Penkacik Aprn NPPES

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

HOLLY PENKACIK APRN (NPI 1285186288) is an individual adult health provider in West Haven, Connecticut, licensed in Connecticut (6797) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1285186288
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameHOLLY PENKACIKCredential: APRN
Location Address1 CELLINI PL STE 102West Haven, CT 06516-1666
Mailing Address1 Cellini Pl Ste 102West Haven, CT 06516-1666 · (203) 932-6481
Fax(203) 932-4051
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 26, 2016
Last NPPES UpdateMarch 21, 20236 updates tracked since enumeration
NPPES CertifiedMarch 21, 2023
NPI 1285186288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in CT · 6797
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 12.006797 (CT)
1 CELLINI PL STE 102, West Haven, CT 06516

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

Holly Penkacik Aprn 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 ID6901186485
PECOS Enrollment IDI20161130000859
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

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
28 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06516 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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.

90.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.27
Promoting Interoperability100
Improvement Activities40
Cost58.92

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Trapeze bar, free standing, complete with grab bar E0940
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$12.65 avg. paid by Medicare
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955
DME-Wheelchairs · category DD021N
2 suppliers11 claims11 services$14.85 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
2 suppliers11 claims11 services$15.16 avg. paid by Medicare
Manual adult size wheelchair, includes tilt in space E1161
DME-Wheelchairs · category DD000N
2 suppliers11 claims11 services$201.58 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers24 claims25 services$63.18 avg. paid by Medicare
Dynamic adjustable elbow extension/flexion device, includes soft interface material E1800
DME-Other DME · category DE000N
1 supplier11 claims11 services$82.31 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 (Adult Health)
1 CELLINI PL STE 102
WEST HAVEN, CT 06516
Nurse Practitioner (Family)
1 CELLINI PL STE 102
WEST HAVEN, CT 06516
Nurse Practitioner (Adult Health)
1 CELLINI PL STE 102
WEST HAVEN, CT 06516
Physician Assistant (Medical)
1 CELLINI PL STE 102
WEST HAVEN, CT 06516
Nurse Practitioner
1 CELLINI PL STE 102
WEST HAVEN, CT 06516
Nurse Practitioner (Adult Health)
1 CELLINI PL STE 102
WEST HAVEN, CT 06516
Nurse Practitioner (Family)
1 CELLINI PL STE 102
WEST HAVEN, CT 06516
Physician Assistant
1 CELLINI PL STE 102
WEST HAVEN, CT 06516

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 Holly Penkacik's NPI number?

The NPI number for Holly Penkacik is 1285186288. It was assigned to this individual provider in the NPPES registry on October 26, 2016.

Where is Holly Penkacik located?

Holly Penkacik practices at 1 Cellini Pl Ste 102, West Haven, CT 06516. The listed phone number is (203) 932-6481.

What is Holly Penkacik's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Holly Penkacik enrolled in Medicare?

Yes. Holly Penkacik 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.

When was this NPI record last updated?

The NPPES record for Holly Penkacik was last updated on March 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.