PENNY D. VANCE FNP-BC - NPI 1588690689 - Nurse Practitioner in Jackson, MS

Q: What is Penny Vance's NPI number?

The NPI number for Penny Vance is 1588690689. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Q: What is Penny Vance's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Penny Vance was last updated on March 10, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Penny D. Vance Fnp-bc NPPES

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

PENNY D. VANCE FNP-BC (NPI 1588690689) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (652334) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Flowood, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1588690689

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NamePENNY D. VANCECredential: FNP-BC

Location Address911 ELLIS AVEJackson, MS 39209-6256

Mailing AddressPo Box 746085Atlanta, GA 30374-6085 · (773) 352-1515 · Fax (312) 929-0373

Phone(601) 533-7016

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateJune 23, 2006

Last NPPES UpdateMarch 10, 20262 updates tracked since enumeration

NPPES CertifiedMarch 10, 2026

✔ NPI 1588690689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MS · 652334

911 ELLIS AVE, Jackson, MS 39209

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Secondary Practice Location 1

Location 1215 Katherine Dr Ste AFlowood, MS 39232-9588 · Phone (601) 665-4162 · Fax (855) 830-3484

Other Identifiers 2

Medicaid005238298MS

OtherP01629801MS · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Oscar Health Plan, Inc..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

Penny D. Vance Fnp-bc 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 ID9436153665

PECOS Enrollment IDI20060831000135

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 39209 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 12

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

MS. CAROLINE V GREEN FNP-C

Nurse Practitioner (Family)