Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KATHLYN LARA PENICK PA
NPI 1558091157
Physician Assistant in Orange City, FL

Q: What is Kathlyn Penick's NPI number?

The NPI number for Kathlyn Penick is 1558091157. It was assigned to this individual provider in the NPPES registry on June 15, 2022.

Q: What is Kathlyn Penick's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kathlyn Penick was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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 June 15, 2022PECOS Enrolled

2824 ENTERPRISE RD, ORANGE CITY, FL 32763(386) 774-7411(386) 774-7412 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2026, Feb 10, 2025 (2 updates tracked since 2025).

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About Kathlyn Lara Penick Pa NPPES

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

KATHLYN LARA PENICK PA (NPI 1558091157) is an individual physician assistant in Orange City, Florida, licensed in Florida (PA9116046) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558091157

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKATHLYN LARA PENICKCredential: PA

Location Address2824 ENTERPRISE RDOrange City, FL 32763-8428

Mailing AddressPo Box 102222Atlanta, GA 30368-2222 · (239) 274-8200

Phone(386) 774-7411

Fax(386) 774-7412

Sole ProprietorNo

Enumeration DateJune 15, 2022

Last NPPES UpdateJuly 7, 20262 updates tracked since enumeration

NPPES CertifiedJuly 7, 2026

✔ NPI 1558091157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in FL · PA9116046

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2824 ENTERPRISE RD, Orange City, FL 32763

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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)

Kathlyn Lara Penick Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 32763 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

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 11

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

FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC

Internal Medicine (Medical Oncology)