DECEMBER N PENNEKAMP FNP-BC
NPI 1417729583
Nurse Practitioner - Family in Cincinnati, OH

Q: What is December Pennekamp's NPI number?

The NPI number for December Pennekamp is 1417729583. It was assigned to this individual provider in the NPPES registry on October 23, 2023.

Q: What is December Pennekamp's specialty?

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

Active since October 23, 2023PECOS EnrolledAccepts Medicare Assignment

5403 N BEND RD, CINCINNATI, OH 45247(513) 853-9700(513) 852-8969 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 17, 2024, Oct 23, 2023 (2 updates tracked since 2023).

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About December N Pennekamp Fnp-bc NPPES

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

DECEMBER N PENNEKAMP FNP-BC (NPI 1417729583) is an individual family provider in Cincinnati, Ohio, licensed in Ohio (0035176) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1417729583

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDECEMBER N PENNEKAMPCredential: FNP-BC

Location Address5403 N BEND RDCincinnati, OH 45247-7620

Mailing Address5403 N Bend RdCincinnati, OH 45247-7620 · (513) 853-9700 · Fax (513) 852-8969

Phone(513) 853-9700

Fax(513) 852-8969

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateOctober 23, 2023

Last NPPES UpdateMay 17, 20242 updates tracked since enumeration

NPPES CertifiedMay 17, 2024

✔ NPI 1417729583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in OH · 0035176

5403 N BEND RD, Cincinnati, OH 45247

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Secondary Practice Locations 2

Location 14130 Dry Ridge RdCincinnati, OH 45252-1914 · Phone (513) 490-2365

Location 28000 princeton glendale roadwest chester township, OH 45069 · Phone (513) 682-8045

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Moda Health Plan, Inc., Oscar Health Insurance 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 and accepts Medicare assignment

December N Pennekamp Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254789175

PECOS Enrollment IDI20231201002422, I20260416001700

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

Medicare enrollment records show December Pennekamp reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Little Clinic Of Ohio LLC

3.8 mi

Family

7132 HAMILTON AVE
Cincinnati, OH 45231

Reassigned Medicare billing, Ohio enrollment
537 clinicians in this Medicare group

NPI 1982761896 (513) 728-2780

Trihealth U LLC

8.1 mi

Community Health

4605 MONTGOMERY RD
Cincinnati, OH 45212

Reassigned Medicare billing, Ohio enrollment
74 clinicians in this Medicare group

NPI 1528605177 (135) 853-9700

Cg Medical Associates Inc

15 mi

Urgent Care

7300 BEECHMONT AVE
Cincinnati, OH 45230

Reassigned Medicare billing, Ohio enrollment
329 clinicians in this Medicare group

NPI 1982903951 (513) 232-9100

Family Health Centers

1,842 mi

Federally Qualified Health Center (FQHC)

716 FIRST AVENUE SOUTH
Okanogan, WA 98840

Reassigned Medicare billing, Washington enrollment
46 clinicians in this Medicare group

NPI 1609804392 (509) 422-5700

Seward Community Health Center, Inc.

3,089 mi

Federally Qualified Health Center (FQHC)

417 FIRST AVE
Seward, AK 99664

Reassigned Medicare billing, Alaska enrollment
18 clinicians in this Medicare group

NPI 1356772024 (907) 224-2273

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

36 services36 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

23 services23 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45247 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

MR. JOSEPH PAUL HOETKER RPH

Pharmacist