CICELY EVETTE PENN PMHNP
NPI 1487073623
Nurse Practitioner - Psychiatric/Mental Health in Nebo, NC
About Cicely Evette Penn Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CICELY EVETTE PENN PMHNP (NPI 1487073623) is an individual psychiatric/mental health provider in Nebo, North Carolina, licensed in North Carolina (5015863) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
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)
Cicely Evette Penn Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Cicely Penn reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Greensboro, NC 27403
- Reassigned Medicare billing, North Carolina enrollment
- 835 clinicians in this Medicare group
Burlington, NC 27215
- Reassigned Medicare billing, North Carolina enrollment
- 384 clinicians in this Medicare group
Durham, NC 27707
- Reassigned Medicare billing, North Carolina enrollment
- 47 clinicians in this Medicare group
Raleigh, NC 27610
- Reassigned Medicare billing, North Carolina enrollment
- 33 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28761 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEBO, NC 28761
NEBO, NC 28761
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 Cicely Penn's NPI number?
The NPI number for Cicely Penn is 1487073623. It was assigned to this individual provider in the NPPES registry on April 15, 2014.
Where is Cicely Penn located?
Cicely Penn practices at 1251 Pinnacle Church Road, Nebo, NC 28761. The listed phone number is (336) 285-7915.
What is Cicely Penn's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Cicely Penn enrolled in Medicare?
Yes. Cicely Penn is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Cicely Penn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Cicely Penn reassigns Medicare benefits to 4 organizations: The Moses H. Cone Memorial Hospital Operating Corporation (Greensboro, NC), Alamance Regional Medical Center, Inc. (Burlington, NC), Best Day Psychiatry And Counseling, PC (Durham, NC) and Holly Hill Hospital LLC (Raleigh, NC). 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 Cicely Penn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Cicely Penn accept?
Health plans from Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Cicely Penn 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 Cicely Penn was last updated on February 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Cicely Evette Penn, PMHNP · NPI 1487073623
Psychiatric/Mental Health physician in Nebo, North Carolina. Individual provider, active in the CMS NPPES registry since April 15, 2014.
## Identity
- **NPI:** 1487073623 (Entity type: Individual)
- **Enumerated:** April 15, 2014
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 5015863 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1251 PINNACLE CHURCH ROAD, Nebo, NC 28761-5753
- **Phone:** (336) 285-7915
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): The Moses H. Cone Memorial Hospital Operating Corporation (NPI 1013265909, Greensboro, NC); Alamance Regional Medical Center, Inc. (NPI 1326010273, Burlington, NC); Best Day Psychiatry And Counseling, PC (NPI 1740808096, Durham, NC); Holly Hill Hospital LLC (NPI 1518037233, Raleigh, NC) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 7, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1487073623) · Data from the CMS NPPES public registry.