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DAVID PENNER MD PLLC
NPI 1407440001
Psychiatry & Neurology - Psychiatry in Olympia, WA

Active since February 24, 2021
1801 W BAY DR NW STE 104, OLYMPIA, WA 98502(360) 539-1736(360) 350-5610 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 5, 2026, Apr 21, 2026, Feb 24, 2021 (3 updates tracked since 2021).

About David Penner Md Pllc NPPES

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

DAVID PENNER MD PLLC (NPI 1407440001) is a healthcare organization registered as a psychiatry in Olympia, Washington and active in the NPI registry since February 2021. The organization maintains 2 additional practice locations and lists David Eugene Penner, Dr, as its authorized official.

NPPES Registry Identity

NPI1407440001
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameDAVID PENNER MD PLLC
Location Address1801 W BAY DR NW STE 104Olympia, WA 98502-4310
Mailing AddressPo Box 23Olympia, WA 98507-0023 · (360) 539-1736 · Fax (360) 350-5610
Phone(360) 539-1736
Fax(360) 350-5610
Organization SubpartNo
Authorized OfficialDavid Eugene PennerDr · (360) 539-1736
Enumeration DateFebruary 24, 2021
Last NPPES UpdateMay 5, 20263 updates tracked since enumeration
NPPES CertifiedMay 5, 2026
✔ NPI 1407440001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1801 W BAY DR NW STE 104, Olympia, WA 98502
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Secondary Practice Locations 2

Location 18765 Tallon Ln NE Ste QLacey, WA 98516-6654 · Phone (360) 539-1736 · Fax (360) 350-5610
Location 2609 Yelm Ave W Ste 4Yelm, WA 98597-7474 · Phone (360) 539-1736 · Fax (360) 350-5610

Other Identifiers 1

Medicaid2149000WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Penner Md Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to David Penner MD PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

David Penner, MD
Psychiatry
NPI 1114005584
1801 W BAY DR NW STE 104
Olympia, WA 98502
(360) 539-1736
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 David Penner MD PLLC's NPI number?

The NPI number for David Penner MD PLLC is 1407440001. It was assigned to this organization in the NPPES registry on February 24, 2021.

Where is David Penner MD PLLC located?

David Penner MD PLLC is located at 1801 W Bay Dr NW Ste 104, Olympia, WA 98502. The listed phone number is (360) 539-1736.

What is David Penner MD PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is David Penner MD PLLC enrolled in Medicare?

Yes. David Penner MD PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through David Penner MD PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to David Penner MD PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does David Penner MD PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list David Penner MD PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Penner MD PLLC was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.