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ANNALYN PENKALA DO
NPI 1528754900
Family Medicine in Tupelo, MS

Active since April 18, 2023PECOS Enrolled
1665 S GREEN ST, TUPELO, MS 38804(662) 377-2261 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Annalyn Penkala Do NPPES

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

ANNALYN PENKALA DO (NPI 1528754900) is an individual family medicine provider in Tupelo, Mississippi, licensed in Mississippi (34926) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, is affiliated with North Mississippi Medical Center, and is a graduate of West Virginia School Of Osteopathic Medicine (2023).

NPPES Registry Identity

NPI1528754900
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameANNALYN PENKALACredential: DO
Location Address1665 S GREEN STTupelo, MS 38804-6556
Mailing Address271 Fonderlac Dr SeWarren, OH 44484-2158 · (330) 979-9632
Phone(662) 377-2261
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2023
Enumeration DateApril 18, 2023
Last NPPES UpdateJuly 21, 2026
NPPES CertifiedJuly 21, 2026
✔ NPI 1528754900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MS · 34926
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1665 S GREEN ST, Tupelo, MS 38804
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Annalyn Penkala Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547621047
PECOS Enrollment IDI20260804003567
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

5

Medicare enrollment records show Annalyn Penkala reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Relias Emergency Medicine Specialists Of Tupelo LLC
0.5 mi
Emergency Medicine
830 S GLOSTER ST
Tupelo, MS 38801
  • Reassigned Medicare billing, Mississippi enrollment
  • 108 clinicians in this Medicare group
NPI 1841664661 (662) 432-4106
Relias Hospitalist Medicine Specialists Of Pontotoc LLC
17 mi
Hospitalist
176 S MAIN ST
Pontotoc, MS 38863
  • Reassigned Medicare billing, Mississippi enrollment
  • 44 clinicians in this Medicare group
NPI 1972189330 (662) 489-5510
Relias Hospitalist Medicine Specialists Of Amory LLC
23 mi
Hospitalist
1105 EARL FRYE BLVD
Amory, MS 38821
  • Reassigned Medicare billing, Mississippi enrollment
  • 45 clinicians in this Medicare group
NPI 1205470796 (662) 432-4106
Relias Hospitalist Medicine Specialists Of West Point LLC
43 mi
Hospitalist
150 MEDICAL CENTER DR
West Point, MS 39773
  • Reassigned Medicare billing, Mississippi enrollment
  • 53 clinicians in this Medicare group
NPI 1821638578 (662) 432-4106
Rh Hospitalist Medicine Of Och Regional LLC
53 mi
Hospitalist
400 HOSPITAL RD
Starkville, MS 39759
  • Reassigned Medicare billing, Mississippi enrollment
  • 17 clinicians in this Medicare group
NPI 1104652494 (662) 432-4106

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

Hospital Affiliations CMS Care Compare

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

North Mississippi Medical Center

Acute Care Hospitals · Tupelo, MS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250004
Location830 S Gloster StreetTupelo, MS 38801 · Lee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38804 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 20

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

YONG SEOK CHANG DO
Student in an Organized Health Care Education/Training Program
1665 S GREEN ST
TUPELO, MS 38804
Lee County (662) 377-2189
RAVEN S ELDRIDGE
Student in an Organized Health Care Education/Training Program
1665 S GREEN ST
TUPELO, MS 38804
Lee County (662) 377-2189
TERRY RAY PERRINE MD
Family Medicine
1665 S GREEN ST
TUPELO, MS 38804
Lee County (662) 377-2189
SIMRANJIT KAUR
Student in an Organized Health Care Education/Training Program
1665 S GREEN ST
TUPELO, MS 38804
Lee County (662) 377-2189
DR. LUKE JAMESON CAMPBELL M.D.
Student in an Organized Health Care Education/Training Program
1665 S GREEN ST
TUPELO, MS 38804
Lee County (662) 377-2189
JOHN EDWARD HILL MD
Family Medicine
1665 S GREEN ST
TUPELO, MS 38804
Lee County (662) 377-2189
HANNAH SONI DO
Student in an Organized Health Care Education/Training Program
1665 S GREEN ST
TUPELO, MS 38804
Lee County (662) 377-2189
VICTORIA SCHROCK DO
Student in an Organized Health Care Education/Training Program
1665 S GREEN ST
TUPELO, MS 38804
Lee County (662) 377-2189

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 Annalyn Penkala's NPI number?

The NPI number for Annalyn Penkala is 1528754900. It was assigned to this individual provider in the NPPES registry on April 18, 2023.

Where is Annalyn Penkala located?

Annalyn Penkala practices at 1665 S Green St, Tupelo, MS 38804. The listed phone number is (662) 377-2261.

What is Annalyn Penkala's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Annalyn Penkala enrolled in Medicare?

Yes. Annalyn Penkala is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Annalyn Penkala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Annalyn Penkala reassigns Medicare benefits to 5 organizations: Relias Emergency Medicine Specialists Of Tupelo LLC (Tupelo, MS), Relias Hospitalist Medicine Specialists Of Pontotoc LLC (Pontotoc, MS), Relias Hospitalist Medicine Specialists Of Amory LLC (Amory, MS), Relias Hospitalist Medicine Specialists Of West Point LLC (West Point, MS) and Rh Hospitalist Medicine Of Och Regional LLC (Starkville, MS). 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 Annalyn Penkala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Annalyn Penkala affiliated with any hospitals?

According to CMS data, Annalyn Penkala is affiliated with North Mississippi Medical Center.

When was this NPI record last updated?

The NPPES record for Annalyn Penkala was last updated on July 21, 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.