ROBERT PENNEBAKER PMHNP-BC, LCSW
NPI 1609957505
Nurse Practitioner - Psychiatric/Mental Health in Fayetteville, NC

Q: What is Robert Pennebaker's NPI number?

The NPI number for Robert Pennebaker is 1609957505. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Q: What is Robert Pennebaker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Robert Pennebaker was last updated on September 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 October 18, 2006PECOS EnrolledAccepts Medicare Assignment

2931 BREEZEWOOD AVE STE 104, FAYETTEVILLE, NC 28303(910) 491-1134(910) 491-9781 Get Directions Write a Review

NPPES record last updated: September 24, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Robert Pennebaker Pmhnp-bc, Lcsw NPPES

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

ROBERT PENNEBAKER PMHNP-BC, LCSW (NPI 1609957505) is an individual psychiatric/mental health provider in Fayetteville, North Carolina, licensed in North Carolina (5005524) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1609957505

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameROBERT PENNEBAKERCredential: PMHNP-BC, LCSW

Location Address2931 BREEZEWOOD AVE STE 104Fayetteville, NC 28303-5281

Mailing Address2931 Breezewood Ave Ste 104Fayetteville, NC 28303-5281 · (910) 491-1134 · Fax (910) 491-9781

Phone(910) 491-1134

Fax(910) 491-9781

Sole ProprietorYes

Medical School CMSOtherGraduated 2011

Enumeration DateOctober 18, 2006

Last NPPES UpdateSeptember 24, 2020

NPPES CertifiedSeptember 24, 2020

✔ NPI 1609957505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NC · 5005524

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License C002032 (NC)

2931 BREEZEWOOD AVE STE 104, Fayetteville, NC 28303

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Robert Pennebaker Pmhnp-bc, Lcsw 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 ID2567637184

PECOS Enrollment IDI20151029000414

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 Reassignment

Medicare enrollment records show Robert Pennebaker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Robert C. Pennebaker PLLC

Same address

Psychiatric/Mental Health

2931 BREEZEWOOD AVE STE 104
Fayetteville, NC 28303

Reassigned Medicare billing, North Carolina enrollment
14 clinicians in this Medicare group

NPI 1144657677 (910) 491-1134

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

450 services58 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

69 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28303 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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 7

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

ROBERT C. PENNEBAKER PLLC

Nurse Practitioner (Psychiatric/Mental Health)