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CHRISTINE MARIE PENICKA MS, RD, PA-C
NPI 1629553995
Physician Assistant in Albany, NY

Active since October 02, 2018PECOS Enrolled
76.7/100
CMS Quality Rating
391 MYRTLE AVE STE 3A, ALBANY, NY 12208(518) 262-5588 Get Directions Write a Review

NPPES record last updated: June 15, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Christine Marie Penicka Ms, Rd, Pa-c NPPES

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

CHRISTINE MARIE PENICKA MS, RD, PA-C (NPI 1629553995) is an individual physician assistant in Albany, New York and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629553995
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCHRISTINE MARIE PENICKACredential: MS, RD, PA-C
Location Address391 MYRTLE AVE STE 3AAlbany, NY 12208-3797
Mailing Address391 Myrtle Ave Ste 3aAlbany, NY 12208-3797
Phone(518) 262-5588
Sole ProprietorNo
Enumeration DateOctober 2, 2018
Last NPPES UpdateJune 15, 2022
NPPES CertifiedJune 15, 2022
✔ NPI 1629553995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
Also ListedDietitian, RegisteredTaxonomy 133V00000X · License 86101200
391 MYRTLE AVE STE 3A, Albany, NY 12208
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christine Marie Penicka Ms, Rd, Pa-c 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 12208 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.96
Promoting Interoperability74
Improvement Activities40
Cost61.04

Other Providers at the Same Location NPPES 5

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

AMELIA RAE KOETHEN MHC
Counselor (Mental Health)
391 MYRTLE AVE STE 3A
ALBANY, NY 12208
Albany County (518) 262-2700
LAUREN NOELLE FINKE MHC LIMITED PERMIT
Counselor (Mental Health)
391 MYRTLE AVE STE 3A
ALBANY, NY 12208
Albany County (518) 262-5401
KELSEY BALL NP
Nurse Practitioner (Pediatrics)
391 MYRTLE AVE STE 3A
ALBANY, NY 12208
Albany County (518) 262-5588
MRS. AMY ELIZABETH HOLLNER APRN, MSN, CPNP-PC
Nurse Practitioner (Pediatrics)
391 MYRTLE AVE STE 3A
ALBANY, NY 12208
Albany County (518) 262-5588
MS. REBECCA HABERSANG LMSW
Social Worker
391 MYRTLE AVE STE 3A
ALBANY, NY 12208
Albany County (518) 262-4364

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 Christine Penicka's NPI number?

The NPI number for Christine Penicka is 1629553995. It was assigned to this individual provider in the NPPES registry on October 2, 2018.

Where is Christine Penicka located?

Christine Penicka practices at 391 Myrtle Ave Ste 3A, Albany, NY 12208. The listed phone number is (518) 262-5588.

What is Christine Penicka's specialty?

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

Is Christine Penicka enrolled in Medicare?

Yes. Christine Penicka is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Christine Penicka was last updated on June 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.