MR. JIMMY PENN RN FNP-C
NPI 1295934735
Nurse Practitioner - Family in Dallas, TX

Active since July 14, 2007PECOS Enrolled
1935 MOTOR ST, AMBULATORY CARE PAVILION ENDOCRINOLOGY CLINIC, DALLAS, TX 75235(214) 456-5959(214) 456-5963 Get Directions Write a Review

NPPES record last updated: July 14, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Jimmy Penn Rn Fnp-c NPPES

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

MR. JIMMY PENN RN FNP-C (NPI 1295934735) is an individual family provider in Dallas, Texas, licensed in Texas (679534) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295934735
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. JIMMY PENNCredential: RN FNP-C
Location Address1935 MOTOR ST, AMBULATORY CARE PAVILION ENDOCRINOLOGY CLINICDallas, TX 75235-7701
Mailing Address1935 Motor St, Ambulatory Care Pavilion Endocrinology ClinicDallas, TX 75235-7701 · (214) 456-5959 · Fax (214) 456-5963
Fax(214) 456-5963
Sole ProprietorNo
Enumeration DateJuly 14, 2007
NPI 1295934735 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 · 679534
1935 MOTOR ST, Dallas, TX 75235

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Jimmy Penn Rn Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75235 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

General Acute Care Hospital (Children)
1935 MOTOR ST
DALLAS, TX 75235
Specialist
1935 MOTOR ST
DALLAS, TX 75235
Nurse Practitioner (Pediatrics)
1935 MOTOR ST
DALLAS, TX 75235
Clinic/Center (Primary Care)
1935 MOTOR ST
DALLAS, TX 75235
Dietitian, Registered (Nutrition, Pediatric)
1935 MOTOR ST, CLINICAL NUTRITION
DALLAS, TX 75235
Dietitian, Registered (Nutrition, Pediatric)
1935 MOTOR ST
DALLAS, TX 75235
Pediatrics
1935 MOTOR ST
DALLAS, TX 75235
Nurse Practitioner (Pediatrics, Critical Care)
1935 MOTOR ST
DALLAS, TX 75235

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 Jimmy Penn's NPI number?

The NPI number for Jimmy Penn is 1295934735. It was assigned to this individual provider in the NPPES registry on July 14, 2007.

Where is Jimmy Penn located?

Jimmy Penn practices at 1935 Motor St Ambulatory Care Pavilion Endocrinology Clinic, Dallas, TX 75235. The listed phone number is (214) 456-5959.

What is Jimmy Penn's specialty?

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

Is Jimmy Penn enrolled in Medicare?

Yes. Jimmy Penn is registered in the Medicare PECOS enrollment system.

What insurance does Jimmy Penn accept?

Health plans from Blue Cross and Blue Shield of Texas list Jimmy Penn 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.

When was this NPI record last updated?

The NPPES record for Jimmy Penn was last updated on July 14, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.