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DR. PENNY XUAN DUPRE M.D.
NPI 1417117664
Pediatrics in Grand Bay, AL

Active since June 11, 2008PECOS Enrolled
10075 GRAND BAY WILMER RD S, GRAND BAY, AL 36541(251) 865-1852 Get Directions Write a Review

NPPES record last updated: December 19, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Penny Xuan Dupre M.d. NPPES

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

DR. PENNY XUAN DUPRE M.D. (NPI 1417117664) is an individual pediatrics provider in Grand Bay, Alabama, licensed in Louisiana (MD.203001) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417117664
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. PENNY XUAN DUPRECredential: M.D.
Location Address10075 GRAND BAY WILMER RD SGrand Bay, AL 36541-5003
Mailing Address10075 Grand Bay Wilmer Rd SGrand Bay, AL 36541-5003 · (251) 865-1852
Phone(251) 865-1852
Sole ProprietorNo
Enumeration DateJune 11, 2008
Last NPPES UpdateDecember 19, 2016
✔ NPI 1417117664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in LA · MD.203001
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
10075 GRAND BAY WILMER RD S, Grand Bay, AL 36541
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Other Identifiers 4

Medicaid191317AL
Medicaid189935AL
Medicaid189689AL
Medicaid1087581LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Penny Xuan Dupre M.d. 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Penny Dupre reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Franklin Primary Health Center Inc
16 mi
Federally Qualified Health Center (FQHC)
801 UNIVERSITY BLVD S STE D
Mobile, AL 36609
  • Reassigned Medicare billing, Alabama enrollment
  • 123 clinicians in this Medicare group
NPI 1154551703 (251) 344-1964
Wilmer Medical Clinic, LLC
24 mi
Rural Health
6353 2ND ST
Wilmer, AL 36587
  • Reassigned Medicare billing, Alabama enrollment
  • 10 clinicians in this Medicare group
NPI 1649667577 (251) 410-7425
South Alabama Medical Clinic, LLC
  • Reassigned Medicare billing, Alabama enrollment
  • 23 clinicians in this Medicare group
No phone listed

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36541 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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 9

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

DEANNA WALKER SEAMAN NP
Nurse Practitioner (Pediatrics)
10075 GRAND BAY WILMER RD S
GRAND BAY, AL 36541
Mobile County (251) 865-1852
SOUTH ALABAMA MEDICAL CLINIC LLC
Clinic/Center (Rural Health)
10075 GRAND BAY WILMER RD S
GRAND BAY, AL 36541
Mobile County (251) 865-1852
MELISSA SPRINKLE CRNP
Nurse Practitioner
10075 GRAND BAY WILMER RD S
GRAND BAY, AL 36541
Mobile County (251) 865-1852
MR. LLOYD SEAN STOKES NP-C
Nurse Practitioner (Family)
10075 GRAND BAY WILMER RD S
GRAND BAY, AL 36541
Mobile County (251) 865-1852
GRAND BAY MEDICAL CENTER, INC.
Clinic/Center (Rural Health)
10075 GRAND BAY WILMER RD S
GRAND BAY, AL 36541
Mobile County (251) 865-9111
BIENVILLE ORTHOPAEDIC SPECIALISTS, LLC
Orthopaedic Surgery
10075 GRAND BAY WILMER RD S
GRAND BAY, AL 36541
Mobile County (228) 230-2663
DR. ALAINA ELIZABETH AMATO MD
Internal Medicine
10075 GRAND BAY WILMER RD S
GRAND BAY, AL 36541
Mobile County (251) 865-1852
MR. JUSTIN BLAKE STOKES CRNP
Nurse Practitioner (Family)
10075 GRAND BAY WILMER RD S
GRAND BAY, AL 36541
Mobile County (518) 651-8522

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 Penny Dupre's NPI number?

The NPI number for Penny Dupre is 1417117664. It was assigned to this individual provider in the NPPES registry on June 11, 2008.

Where is Penny Dupre located?

Penny Dupre practices at 10075 Grand Bay Wilmer Rd S, Grand Bay, AL 36541. The listed phone number is (251) 865-1852.

What is Penny Dupre's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Penny Dupre enrolled in Medicare?

Yes. Penny Dupre is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Penny Dupre's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Penny Dupre reassigns Medicare benefits to 3 organizations: Franklin Primary Health Center Inc (Mobile, AL), Wilmer Medical Clinic, LLC (Wilmer, AL) and South Alabama Medical Clinic, LLC (AL). 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 Penny Dupre's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Penny Dupre accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Penny Dupre 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 Penny Dupre was last updated on December 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.