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CARLEY DANIELLE PENNECKE
NPI 1386348589
Physician Assistant - Medical in New Haven, CT

Active since March 30, 2023PECOS Enrolled
20 YORK ST, NEW HAVEN, CT 06510(203) 688-4242 Get Directions Write a Review

NPPES record last updated: July 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carley Danielle Pennecke NPPES

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

CARLEY DANIELLE PENNECKE (NPI 1386348589) is an individual medical provider in New Haven, Connecticut, licensed in Connecticut (6147) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386348589
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameCARLEY DANIELLE PENNECKE
Location Address20 YORK STNew Haven, CT 06510-3220
Mailing Address20 York StNew Haven, CT 06510-3220 · (203) 688-4242
Phone(203) 688-4242
Sole ProprietorNo
Enumeration DateMarch 30, 2023
Last NPPES UpdateJuly 31, 2023
NPPES CertifiedJuly 31, 2023
✔ NPI 1386348589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CT · 6147
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
20 YORK ST, New Haven, CT 06510
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carley Danielle Pennecke 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 20

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

AUDREY P SENIOR APRN
Nurse Practitioner (Family)
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-5860
DR. YEISID F FIGUEREDO M.D.
Pediatrics (Neonatal-Perinatal Medicine)
20 YORK ST, DEPT OF NEONATOLOGY
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2320
YALE NEW HAVEN HOSPITAL
Durable Medical Equipment & Medical Supplies (Customized Equipment)
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2046
TAYLOR KINGSTON
Dietitian, Registered
20 YORK ST, FOOD AND NUTRITION EPB806
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-9185
DR. TRAVIS DANIEL BONTRAGER MD
Hospitalist
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-1734
NEEHARIKA THOTTEMPUDI MBBS
Psychiatry & Neurology (Neurology)
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4242
TERESA JOSEPH D.O.
Internal Medicine (Nephrology)
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 737-8894
MR. BRAD ST. MARTIN MD
Obstetrics & Gynecology
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4242

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 Carley Pennecke's NPI number?

The NPI number for Carley Pennecke is 1386348589. It was assigned to this individual provider in the NPPES registry on March 30, 2023.

Where is Carley Pennecke located?

Carley Pennecke practices at 20 York St, New Haven, CT 06510. The listed phone number is (203) 688-4242.

What is Carley Pennecke's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Carley Pennecke enrolled in Medicare?

Yes. Carley Pennecke is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carley Pennecke was last updated on July 31, 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.