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MRS. PAULA LYNN PENGILLY FNP
NPI 1306839865
Nurse Practitioner - Family in Thief River Falls, MN

Active since August 30, 2005PECOS Enrolled
90.05/100
CMS Quality Rating
17807 US HWY 59 NE, ROSE MEDICAL MANAGEMENT, THIEF RIVER FALLS, MN 56701(361) 413-5179 Get Directions Write a Review

NPPES record last updated: December 4, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 4, 2020, Jan 28, 2020, Jan 13, 2020 (3 updates tracked since 2020).

About Mrs. Paula Lynn Pengilly Fnp NPPES

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

MRS. PAULA LYNN PENGILLY FNP (NPI 1306839865) is an individual family provider in Thief River Falls, Minnesota, licensed in Maine (CNP91014) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1306839865
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. PAULA LYNN PENGILLYCredential: FNP
Location Address17807 US HWY 59 NE, ROSE MEDICAL MANAGEMENTThief River Falls, MN 56701-5670
Mailing Address3461 37th St NeInkster, ND 58233-9306
Phone(361) 413-5179
Sole ProprietorNo
Enumeration DateAugust 30, 2005
Last NPPES UpdateDecember 4, 20203 updates tracked since enumeration
NPPES CertifiedDecember 2, 2020
✔ NPI 1306839865 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 ME · CNP91014
17807 US HWY 59 NE, Thief River Falls, MN 56701
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1100 County Road BShawano, WI 54166-7072 · Phone (715) 524-2161
Location 242 Dallas Hill RdRangeley, ME 04970-4032 · Phone (207) 864-3303 · Fax (207) 864-2969

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Paula Lynn Pengilly Fnp 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 56701 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

90.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40
Cost50.17

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
2 suppliers13 claims29 services$5.23 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$12.95 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 suppliers19 claims19 services$83.76 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Paula Pengilly's NPI number?

The NPI number for Paula Pengilly is 1306839865. It was assigned to this individual provider in the NPPES registry on August 30, 2005.

Where is Paula Pengilly located?

Paula Pengilly practices at 17807 Us Hwy 59 NE Rose Medical Management, Thief River Falls, MN 56701. The listed phone number is (361) 413-5179.

What is Paula Pengilly's specialty?

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

Is Paula Pengilly enrolled in Medicare?

Yes. Paula Pengilly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Paula Pengilly was last updated on December 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.