WILLIAM NICHOLAS PENNINGTON NP-C
NPI 1487165387
Nurse Practitioner in Starkville, MS

Active since October 18, 2017PECOS EnrolledAccepts Medicare Assignment
76.51/100
CMS Quality Rating
400 HOSPITAL RD, STARKVILLE, MS 39759(662) 323-4320 Get Directions Write a Review

NPPES record last updated: August 7, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 7, 2018, Oct 18, 2017 (2 updates tracked since 2017).

About William Nicholas Pennington Np-c NPPES

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

WILLIAM NICHOLAS PENNINGTON NP-C (NPI 1487165387) is an individual nurse practitioner in Starkville, Mississippi, licensed in Mississippi (902375) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS, is affiliated with Bmh-golden Triangle, and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1487165387
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameWILLIAM NICHOLAS PENNINGTONCredential: NP-C
Location Address400 HOSPITAL RDStarkville, MS 39759
Mailing Address193 Cedar Pointe DrCaledonia, MS 39740-8648
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 18, 2017
Last NPPES UpdateAugust 7, 20182 updates tracked since enumeration
NPI 1487165387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MS · 902375
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

400 HOSPITAL RD, Starkville, MS 39759

Secondary Practice Location 1

Location 12520 5th St NColumbus, MS 39705-2008 · Phone (662) 244-2042

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

William Nicholas Pennington Np-c 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 ID9133478472
PECOS Enrollment IDI20180821000786
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.

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
362 services144 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
99 services98 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
24 services19 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
14 services14 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bmh-Golden Triangle

Acute Care Hospitals · Columbus, MS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250100
Location2520 5th Street NColumbus, MS 39705 · Lowndes County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39759 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.53
Promoting Interoperability82
Improvement Activities40
Cost66.19

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier13 claims14 services$119.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Emergency Medicine (Emergency Medical Services)
400 HOSPITAL RD
STARKVILLE, MS 39759
Internal Medicine
400 HOSPITAL RD
STARKVILLE, MS 39759
Nurse Anesthetist, Certified Registered
400 HOSPITAL RD
STARKVILLE, MS 39759
Specialist/Technologist (Athletic Trainer)
400 HOSPITAL RD
STARKVILLE, MS 39759
Anesthesiology
400 HOSPITAL RD
STARKVILLE, MS 39759
Specialist/Technologist (Athletic Trainer)
400 HOSPITAL RD
STARKVILLE, MS 39759
Nurse Practitioner (Acute Care)
400 HOSPITAL RD
STARKVILLE, MS 39759
Emergency Medicine (Emergency Medical Services)
400 HOSPITAL RD
STARKVILLE, MS 39759

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 William Pennington's NPI number?

The NPI number for William Pennington is 1487165387. It was assigned to this individual provider in the NPPES registry on October 18, 2017.

Where is William Pennington located?

William Pennington practices at 400 Hospital Rd, Starkville, MS 39759. The listed phone number is (662) 323-4320.

What is William Pennington's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is William Pennington enrolled in Medicare?

Yes. William Pennington is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does William Pennington accept?

Health plans from Blue Cross and Blue Shield of Alabama, Oscar Health Plan, Inc. and Oscar Insurance Company list William Pennington 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.

Is William Pennington affiliated with any hospitals?

According to CMS data, William Pennington is affiliated with Bmh-Golden Triangle.

When was this NPI record last updated?

The NPPES record for William Pennington was last updated on August 7, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.