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STACEY MARIE PENSO NP-C
NPI 1346838364
Nurse Practitioner - Family in Athens, GA

Active since January 05, 2021PECOS EnrolledAccepts Medicare Assignment
91.65/100
CMS Quality Rating
242 KING AVENUE, SUITE 210, ATHENS, GA 30606(706) 475-1700 Get Directions Write a Review

NPPES record last updated: April 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 13, 2021, Jan 8, 2021 (2 updates tracked since 2021).

About Stacey Marie Penso Np-c NPPES

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

STACEY MARIE PENSO NP-C (NPI 1346838364) is an individual family provider in Athens, Georgia, licensed in Georgia (RN192603) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, is affiliated with Piedmont Walton Hospital, and maintains a secondary practice location in Athens.

NPPES Registry Identity

NPI1346838364
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACEY MARIE PENSOCredential: NP-C
Location Address242 KING AVENUE, SUITE 210Athens, GA 30606
Mailing Address242 King Ave., Suite 210Athens, GA 30606
Phone(706) 475-1700
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJanuary 5, 2021
Last NPPES UpdateApril 13, 20212 updates tracked since enumeration
NPPES CertifiedMarch 23, 2021
✔ NPI 1346838364 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 GA · RN192603
242 KING AVENUE, Athens, GA 30606
Open in Google Maps ↗

Secondary Practice Location 1

Location 11199 Prince AveAthens, GA 30606-2767 · Phone (706) 338-2820

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

Stacey Marie Penso Np-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 ID3779983481
PECOS Enrollment IDI20210617001838
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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
521 services469 patients

Hospital Affiliations CMS Care Compare 2

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

Piedmont Walton Hospital

Acute Care Hospitals · Monroe, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number110046
Location2151 W Spring StreetMonroe, GA 30655 · Walton County
Emergency services Birthing friendly

Piedmont Athens Regional Medical Center

Acute Care Hospitals · Athens, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110074
Location1199 Prince AvenueAthens, GA 30606 · Clarke County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30606 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

91.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities20

Other Providers at the Same Location NPPES 12

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

KRUPAL JAY HARI M.D.
Internal Medicine (Cardiovascular Disease)
242 KING AVENUE, SUITE 210
ATHENS, GA 30606
Clarke County (706) 475-1700
SARAH HARRISON NP-C
Nurse Practitioner (Family)
242 KING AVENUE, STE 120
ATHENS, GA 30606
Clarke County (706) 475-5700
DR. MICHAEL JOHN GELSOMINO MD
Neurological Surgery
242 KING AVENUE, SUITE 130
ATHENS, GA 30606
Clarke County (706) 475-1870
BRIANNA NICOLE TREASTER CNM
Advanced Practice Midwife
242 KING AVENUE, SUITE 120
ATHENS, GA 30606
Clarke County (706) 475-5700
JANNA JONES KERSH CNM
Advanced Practice Midwife
242 KING AVENUE, SUITE 120
ATHENS, GA 30606
Clarke County (706) 475-5700
DR. JONATHAN TRENT MAGRUDER M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
242 KING AVENUE, SUITE 230
ATHENS, GA 30606
Clarke County (706) 475-1700
DR. JASON M PFLUKE M.D.
Surgery
242 KING AVENUE, SUITE 220
ATHENS, GA 30606
Clarke County (706) 475-7110
DR. MATTHEW TYLER CRIM MD, MSC, MA
Nuclear Medicine (Nuclear Cardiology)
242 KING AVENUE, SUITE 210
ATHENS, GA 30606
Clarke County (706) 475-1700

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 Stacey Penso's NPI number?

The NPI number for Stacey Penso is 1346838364. It was assigned to this individual provider in the NPPES registry on January 5, 2021.

Where is Stacey Penso located?

Stacey Penso practices at 242 King Avenue Suite 210, Athens, GA 30606. The listed phone number is (706) 475-1700.

What is Stacey Penso's specialty?

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

Is Stacey Penso enrolled in Medicare?

Yes. Stacey Penso 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.

Is Stacey Penso affiliated with any hospitals?

According to CMS data, Stacey Penso is affiliated with Piedmont Walton Hospital and Piedmont Athens Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Stacey Penso was last updated on April 13, 2021. 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.