STACEY MARIE PENSO NP-C
NPI 1346838364
Nurse Practitioner - Family in Athens, GA
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 Athens Regional Medical Center, and maintains a secondary practice location in Athens.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Stacey Penso reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Athens, GA 30606
- Reassigned Medicare billing, Georgia enrollment
- 140 clinicians in this Medicare group
Atlanta, GA 30309
- Reassigned Medicare billing, Georgia enrollment
- 539 clinicians in this Medicare group
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Piedmont Athens Regional Medical Center
Acute Care Hospitals · Athens, GAPiedmont Hospital
Acute Care Hospitals · Atlanta, GAPhysician 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.
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.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ATHENS, GA 30606
ATHENS, GA 30606
ATHENS, GA 30606
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.
Which organizations bill Medicare for Stacey Penso's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Penso reassigns Medicare benefits to 2 organizations: Piedmont Athens Specialty Care LLC (Athens, GA) and Piedmont Cardiology Of Atlanta, LLC (Atlanta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacey Penso's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Stacey Penso affiliated with any hospitals?
According to CMS data, Stacey Penso is affiliated with Piedmont Athens Regional Medical Center and Piedmont Hospital.
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.
# Stacey Marie Penso, NP-C · NPI 1346838364
Family physician in Athens, Georgia. Individual provider, active in the CMS NPPES registry since January 5, 2021.
## Identity
- **NPI:** 1346838364 (Entity type: Individual)
- **Enumerated:** January 5, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN192603 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 242 KING AVENUE, SUITE 210, Athens, GA 30606
- **Phone:** (706) 475-1700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Piedmont Athens Specialty Care LLC (NPI 1184130627, Athens, GA); Piedmont Cardiology Of Atlanta, LLC (NPI 1275729691, Atlanta, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** April 13, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1346838364) · Data from the CMS NPPES public registry.