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MADELINE ANNE PENNER PA-C
NPI 1346639176
Physician Assistant in Broken Arrow, OK

Active since January 16, 2015PECOS EnrolledAccepts Medicare Assignment
2950 S ELM PL STE 256, BROKEN ARROW, OK 74012(918) 449-4061(918) 449-4075 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Madeline Anne Penner Pa-c NPPES

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

MADELINE ANNE PENNER PA-C (NPI 1346639176) is an individual physician assistant in Broken Arrow, Oklahoma, licensed in Oklahoma (2437) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Hospital, Inc, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1346639176
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMADELINE ANNE PENNERCredential: PA-C
Location Address2950 S ELM PL STE 256Broken Arrow, OK 74012-7871
Mailing Address6600 S Yale Ave Ste 1400Tulsa, OK 74136-3331
Phone(918) 449-4061
Fax(918) 449-4075
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 16, 2015
Last NPPES UpdateOctober 29, 2024
NPPES CertifiedOctober 29, 2024
✔ NPI 1346639176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OK · 2437
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2950 S ELM PL STE 256, Broken Arrow, OK 74012
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CommunityCare, Mending Health.Insurance ›

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

Madeline Anne Penner Pa-c 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 ID1658699061
PECOS Enrollment IDI20150415001703
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.

Hospital Affiliations CMS Care Compare 2

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

Saint Francis Hospital, Inc

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370091
Location6161 South YaleTulsa, OK 74136 · Tulsa County
Emergency services Birthing friendly

Saint Francis Hospital South, LLC

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370218
Location10501 East 91st Street SouthTulsa, OK 74133 · Tulsa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74012 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH CATHERINE NOBLE APRN, CNM
Advanced Practice Midwife
2950 S ELM PL STE 256
BROKEN ARROW, OK 74012
Tulsa County (918) 307-5440
MISS SIANNA ELIZABETH BATES APRN-CNP
Nurse Practitioner (Primary Care)
2950 S ELM PL STE 256
BROKEN ARROW, OK 74012
Tulsa County (918) 449-4061

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 Madeline Penner's NPI number?

The NPI number for Madeline Penner is 1346639176. It was assigned to this individual provider in the NPPES registry on January 16, 2015.

Where is Madeline Penner located?

Madeline Penner practices at 2950 S Elm Pl Ste 256, Broken Arrow, OK 74012. The listed phone number is (918) 449-4061.

What is Madeline Penner's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Madeline Penner enrolled in Medicare?

Yes. Madeline Penner 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.

What insurance does Madeline Penner accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare and Mending Health list Madeline Penner 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 Madeline Penner affiliated with any hospitals?

According to CMS data, Madeline Penner is affiliated with Saint Francis Hospital, Inc and Saint Francis Hospital South, LLC.

When was this NPI record last updated?

The NPPES record for Madeline Penner was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.