MCKENSIE PENESTON
NPI 1447178652
Speech-Language Pathologist in Neosho, MO

Active since July 07, 2026
1105 VILLAGE RD, NEOSHO, MO 64850(800) 381-0822(352) 565-5201 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mckensie Peneston NPPES

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

MCKENSIE PENESTON (NPI 1447178652) is an individual speech-language pathologist provider in Neosho, Missouri, licensed in Missouri (2026023059) and active in the NPI registry since July 2026. She is a graduate of Other (2026).

NPPES Registry Identity

NPI1447178652
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMCKENSIE PENESTON
Location Address1105 VILLAGE RDNeosho, MO 64850-9076
Mailing Address8477 S Suncoast BlvdHomosassa, FL 34446-5028 · (800) 381-0822 · Fax (352) 565-5201
Fax(352) 565-5201
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJuly 7, 2026
NPPES CertifiedJuly 7, 2026
✔ NPI 1447178652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in MO · 2026023059
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
1105 VILLAGE RD, Neosho, MO 64850

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mckensie Peneston is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587128525
PECOS Enrollment IDI20260710002669

Medicare Billing Reassignment

Medicare enrollment records show Mckensie Peneston reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
8477 S SUNCOAST BLVD
Homosassa, FL 34446
  • Reassigned Medicare billing, Missouri enrollment
  • 23 clinicians in this Medicare group

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

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.

Occupational Therapy Assistant
1105 VILLAGE RD
NEOSHO, MO 64850
Physical Therapy Assistant
1105 VILLAGE RD
NEOSHO, MO 64850
Occupational Therapy Assistant
1105 VILLAGE RD
NEOSHO, MO 64850
Physical Therapy Assistant
1105 VILLAGE RD
NEOSHO, MO 64850
Physical Therapy Assistant
1105 VILLAGE RD
NEOSHO, MO 64850
Physical Therapy Assistant
1105 VILLAGE RD
NEOSHO, MO 64850
Occupational Therapy Assistant
1105 VILLAGE RD
NEOSHO, MO 64850
Occupational Therapy Assistant
1105 VILLAGE RD
NEOSHO, MO 64850

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 Mckensie Peneston's NPI number?

The NPI number for Mckensie Peneston is 1447178652. It was assigned to this individual provider in the NPPES registry on July 7, 2026.

Where is Mckensie Peneston located?

Mckensie Peneston practices at 1105 Village Rd, Neosho, MO 64850. The listed phone number is (800) 381-0822.

What is Mckensie Peneston's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Mckensie Peneston enrolled in Medicare?

Yes. Mckensie Peneston is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mckensie Peneston's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mckensie Peneston reassigns Medicare benefits to Rehab Advantage Solutions, PLLC (Homosassa, FL). The 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 Mckensie Peneston's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mckensie Peneston accept?

Health plans from Anthem Blue Cross and Blue Shield list Mckensie Peneston 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 Mckensie Peneston was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.