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

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: August 16, 2026.

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

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 Blue Cross and Blue Shield of Louisiana, HMO Louisiana, Oscar Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

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.

What insurance does Chancelyn Penn accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana, Oscar Health Plan, Inc. and UnitedHealthcare 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.