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

Q: 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.

Q: What is Holly Penkacik's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Holly Penkacik was last updated on March 21, 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.

Active since October 26, 2016PECOS Enrolled

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: October 18, 2026.

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

On this page

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

Phone(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

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holly Penkacik Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Holly Penkacik reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hhc Physician Services, PLLC

4.9 mi

Physical Medicine & Rehabilitation

322 E MAIN ST STE 1B
Branford, CT 06405

Reassigned Medicare billing, Connecticut enrollment
156 clinicians in this Medicare group

NPI 1609530237 (203) 488-7228

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

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

Quality

82.27

Promoting Interoperability

100

Improvement Activities

Cost

58.92

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.

KATELYN BARON ACNP

Nurse Practitioner (Adult Health)