MS. MISTY MARIE PENROD APRN
NPI 1356606768
Nurse Practitioner - Family in Bluffton, SC

Q: What is Misty Penrod's NPI number?

The NPI number for Misty Penrod is 1356606768. It was assigned to this individual provider in the NPPES registry on July 11, 2012. The provider is also known as Misty Marie Martin Fnp-C.

Q: What is Misty Penrod's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Misty Penrod was last updated on February 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 11, 2012PECOS Enrolled

3 PROGRESSIVE ST, BLUFFTON, SC 29910(843) 548-0533(843) 815-9121 Get Directions Write a Review

NPPES record last updated: February 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 20, 2023, Aug 6, 2020, Feb 18, 2019 and 1 more (4 updates tracked since 2018).

On this page

About Ms. Misty Marie Penrod Aprn NPPES

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

MS. MISTY MARIE PENROD APRN (NPI 1356606768) is an individual family provider in Bluffton, South Carolina, licensed in South Carolina (23137) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356606768

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. MISTY MARIE PENRODCredential: APRN

Location Address3 PROGRESSIVE STBluffton, SC 29910-5165

Mailing Address1053 Center Street, Sc House Calls IncWest Columbia, SC 29169-1873 · (800) 491-0909

Phone(843) 548-0533

Fax(843) 815-9121

Sole ProprietorNo

Enumeration DateJuly 11, 2012

Last NPPES UpdateFebruary 20, 20234 updates tracked since enumeration

NPPES CertifiedFebruary 20, 2023

✔ NPI 1356606768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in SC · 23137✔ Licensed in OH · RN.251801-COA1

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 251801 (OH)

3 PROGRESSIVE ST, Bluffton, SC 29910

Open in Google Maps ↗

Other Names 1

Former Name (1)Misty Marie Martin Fnp-c

Other Identifiers 2

MedicaidNP6344SC

Medicaid0091989OH

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Misty Marie Penrod Aprn 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 29910 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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 8

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

DR. DAWN M KULACH DNP-FNP

Nurse Practitioner (Family)