1. Home
  2. Directory
  3. NPI Profile

JARED PENNER
NPI 1376163790
Family Medicine in Fpo, AA

Active since April 26, 2020PECOS Enrolled
PSC 1005, BOX 11219, FPO, AA 34009(757) 458-2944 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 29, 2024, Apr 26, 2020 (2 updates tracked since 2020).

About Jared Penner NPPES

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

JARED PENNER (NPI 1376163790) is an individual family medicine provider in Fpo, AA, licensed in Virginia (0101276005) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376163790
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJARED PENNER
Location AddressPSC 1005, BOX 11219Fpo, AA 34009
Mailing AddressPsc 1005, Box 11219Fpo, AA 34009
Phone(757) 458-2944
Sole ProprietorNo
Enumeration DateApril 26, 2020
Last NPPES UpdateJuly 29, 20242 updates tracked since enumeration
NPPES CertifiedJuly 29, 2024
✔ NPI 1376163790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0101276005
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jared Penner 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.

Other Providers at the Same Location NPPES 4

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

MARK JAMES HEDINGER DO
Emergency Medicine
PSC 1005, BOX 110185
FPO, AA 34009
(757) 458-2360
JESSE JAMES SCHMIDT PHARMD
Pharmacist
PSC 1005
APO, AA 34009
(757) 458-2071
TYLER BISHOP PHARMD
Pharmacist
PSC 1005, BOX 110185
FPO, AA 34009
(757) 458-2076
DR. SEVERIANO BROCK ACEBO DO
Family Medicine
PSC 1005, BOX 110185
FPO, AA 34009
(757) 458-2998

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 Jared Penner's NPI number?

The NPI number for Jared Penner is 1376163790. It was assigned to this individual provider in the NPPES registry on April 26, 2020.

Where is Jared Penner located?

Jared Penner practices at Psc 1005 Box 11219, Fpo, AA 34009. The listed phone number is (757) 458-2944.

What is Jared Penner's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jared Penner enrolled in Medicare?

Yes. Jared Penner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jared Penner was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.