ELIZABETH ANN PENLAND PH.D.
NPI 1558436964
Psychologist - Adult Development & Aging in Rio Rancho, NM

Q: What is Elizabeth Penland's NPI number?

The NPI number for Elizabeth Penland is 1558436964. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Q: What is Elizabeth Penland's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Adult Development & Aging, with taxonomy code 103TA0700X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Penland was last updated on September 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 November 21, 2006PECOS EnrolledAccepts Medicare Assignment

4005 HIGH RESORT BLVD SE, PMG RIO RANCHO HIGH RESORT 4005, RIO RANCHO, NM 87124(505) 291-2402(505) 291-2490 Get Directions Write a Review

NPPES record last updated: September 5, 2014. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Elizabeth Ann Penland Ph.d. NPPES

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

ELIZABETH ANN PENLAND PH.D. (NPI 1558436964) is an individual adult development & aging provider in Rio Rancho, New Mexico and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Texas A & M University System, Hsc, College Of Medicine (1996).

NPPES Registry Identity

NPI1558436964

Entity TypeIndividualFemale

Primary Taxonomy103TA0700X

Provider Legal NameELIZABETH ANN PENLANDCredential: PH.D.

Location Address4005 HIGH RESORT BLVD SE, PMG RIO RANCHO HIGH RESORT 4005Rio Rancho, NM 87124-5906

Mailing AddressPo Box 26666, Phs Provider EnrollmentAlbuquerque, NM 87125-6666 · (505) 923-6770 · Fax (505) 923-5354

Phone(505) 291-2402

Fax(505) 291-2490

Sole ProprietorNo

Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 1996

Enumeration DateNovember 21, 2006

Last NPPES UpdateSeptember 5, 2014

✔ NPI 1558436964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPsychologist · Adult Development & AgingBehavioral Health & Social Service Providers

Taxonomy Code103TA0700X

Definition

A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later life. Professional geropsychology appreciates the wide diversity among older adults, the complex ethical issues that can arise in geriatric practice and the importance of interdisciplinary models of care.

Also ListedPsychologistTaxonomy 103T00000X · License 0797 (NM)

Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X

Also ListedPsychologist · ForensicTaxonomy 103TF0200X

4005 HIGH RESORT BLVD SE, Rio Rancho, NM 87124

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Elizabeth Ann Penland Ph.d. 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 ID9133264187

PECOS Enrollment IDI20120913000412

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.

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.

SHAE RAY

Registered Nurse (Ambulatory Care)

4005 HIGH RESORT BLVD SE
RIO RANCHO, NM 87124

Sandoval County (505) 462-6000

JENNIFER DELGADO FELIPA MD

Family Medicine (Geriatric Medicine)

4005 HIGH RESORT BLVD SE, INTERNAL MEDICINE
RIO RANCHO, NM 87124

Sandoval County (505) 462-6000

REBECCA LYNN BOURBON P.A.-C

Physician Assistant

4005 HIGH RESORT BLVD SE
RIO RANCHO, NM 87124

Sandoval County (505) 462-6000

HEATHER ANN BUNDRANT RN

Registered Nurse (Ambulatory Care)

4005 HIGH RESORT BLVD SE
RIO RANCHO, NM 87124

Sandoval County (505) 864-5454

DAVID ALLEN ZARIKTA CNP

Nurse Practitioner

4005 HIGH RESORT BLVD SE
RIO RANCHO, NM 87124

Sandoval County (505) 462-6000

DREW TOWLES

Pediatrics

4005 HIGH RESORT BLVD SE, PEDIATRICS
RIO RANCHO, NM 87124

Sandoval County (505) 462-6000

MARLENE EMBER-BARTOLOMEI CNP

Nurse Practitioner (Family)

4005 HIGH RESORT BLVD SE, PMG HIGH RESORT 4005
RIO RANCHO, NM 87124

Sandoval County (505) 462-6000

DR. JONATHAN FORREST GOLDSTONE MD

Family Medicine

4005 HIGH RESORT BLVD SE
RIO RANCHO, NM 87124

Sandoval County (505) 462-6000

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 Elizabeth Penland's NPI number?

The NPI number for Elizabeth Penland is 1558436964. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Where is Elizabeth Penland located?

Elizabeth Penland practices at 4005 High Resort Blvd SE Pmg Rio Rancho High Resort 4005, Rio Rancho, NM 87124. The listed phone number is (505) 291-2402.

What is Elizabeth Penland's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Adult Development & Aging, with taxonomy code 103TA0700X.

Is Elizabeth Penland enrolled in Medicare?

Yes. Elizabeth Penland 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 Elizabeth Penland accept?

Health plans from Providence Health Plan list Elizabeth Penland 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 Elizabeth Penland was last updated on September 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.