CHANCELYN S PENN CNP
NPI 1487169678
Nurse Practitioner - Psychiatric/Mental Health in Gulfport, MS

Q: What is Chancelyn Penn's NPI number?

The NPI number for Chancelyn Penn is 1487169678. It was assigned to this individual provider in the NPPES registry on December 10, 2017.

Q: What is Chancelyn Penn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Chancelyn Penn was last updated on May 20, 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.

Active since December 10, 2017PECOS Enrolled

1520 29TH AVE STE 3, GULFPORT, MS 39501(601) 419-7665 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 10, 2024, Nov 16, 2022, Dec 10, 2017 (3 updates tracked since 2017).

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About Chancelyn S Penn Cnp NPPES

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

CHANCELYN S PENN CNP (NPI 1487169678) is an individual psychiatric/mental health provider in Gulfport, Mississippi, licensed in Mississippi (906511) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1487169678

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameCHANCELYN S PENNCredential: CNP

Location Address1520 29TH AVE STE 3Gulfport, MS 39501-2843

Mailing Address3700 Orleans Ave Apt 5438New Orleans, LA 70119-4871 · (601) 419-7665

Phone(601) 419-7665

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateDecember 10, 2017

Last NPPES UpdateMay 20, 20243 updates tracked since enumeration

NPPES CertifiedMay 20, 2024

✔ NPI 1487169678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MS · 906511

Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License 110298 (LA)

Also ListedNurse PractitionerTaxonomy 363L00000X · License 906511 (MS)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 227548 (LA)

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 906511 (MS)

1520 29TH AVE STE 3, Gulfport, MS 39501

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan 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)

Chancelyn S Penn Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779922117

PECOS Enrollment IDI20260318003747

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 Chancelyn Penn reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Purple Magnolia Healthcare LLC

Same address

Primary Care

1520 29TH AVE STE 3
Gulfport, MS 39501

Reassigned Medicare billing, Mississippi enrollment

NPI 1932965563 (601) 419-7665

Grow Healthcare Group PA

629 mi

Mental Health

66 W FLAGLER ST STE 900
Miami, FL 33130

Reassigned Medicare billing, Louisiana enrollment
163 clinicians in this Medicare group

NPI 1245845932 (786) 244-7711

Sondermind Provider Network LLC

1,107 mi

Clinical

1738 WYNKOOP ST STE 303
Denver, CO 80202

Reassigned Medicare billing, Louisiana enrollment
25 clinicians in this Medicare group

NPI 1760854442 (844) 843-7279

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 39501 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.

Other Providers at the Same Location NPPES 2

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

JASMINE L. SMITH LPC

Counselor (Mental Health)

1520 29TH AVE STE 3
GULFPORT, MS 39501

Harrison County (228) 456-3116

PURPLE MAGNOLIA HEALTHCARE LLC

Nurse Practitioner (Primary Care)

1520 29TH AVE STE 3
GULFPORT, MS 39501

Harrison County (601) 419-7665

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 Chancelyn Penn's NPI number?

The NPI number for Chancelyn Penn is 1487169678. It was assigned to this individual provider in the NPPES registry on December 10, 2017.

Where is Chancelyn Penn located?

Chancelyn Penn practices at 1520 29th Ave Ste 3, Gulfport, MS 39501. The listed phone number is (601) 419-7665.

What is Chancelyn Penn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Chancelyn Penn enrolled in Medicare?

Yes. Chancelyn Penn is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Chancelyn Penn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chancelyn Penn reassigns Medicare benefits to 3 organizations: Purple Magnolia Healthcare LLC (Gulfport, MS), Grow Healthcare Group PA (Miami, FL) and Sondermind Provider Network LLC (Denver, CO). 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 Chancelyn Penn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Chancelyn Penn accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 3 other insurers list Chancelyn 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 Chancelyn Penn was last updated on May 20, 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.