ADAM SETH PENLEY PA
NPI 1689402141
Physician Assistant in Johnson City, TN

Active since July 24, 2024PECOS EnrolledAccepts Medicare Assignment
1503 WOODLAND AVE, JOHNSON CITY, TN 37601(423) 220-6897 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Adam Seth Penley Pa NPPES

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

ADAM SETH PENLEY PA (NPI 1689402141) is an individual physician assistant in Johnson City, Tennessee and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS, is affiliated with Wellmont Bristol Regional Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1689402141
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameADAM SETH PENLEYCredential: PA
Location Address1503 WOODLAND AVEJohnson City, TN 37601-2635
Mailing Address1503 Woodland AveJohnson City, TN 37601-2635 · (423) 220-6897
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 24, 2024
NPPES CertifiedJuly 24, 2024
NPI 1689402141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1503 WOODLAND AVE, Johnson City, TN 37601

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

Adam Seth Penley Pa 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 ID9830623636
PECOS Enrollment IDI20241115003448
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellmont Bristol Regional Medical Center

Acute Care Hospitals · Bristol, TN
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440012
LocationOne Medical Park BlvdBristol, TN 37620 · Sullivan County
Emergency services Birthing friendly

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440017
Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37601 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

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 Adam Penley's NPI number?

The NPI number for Adam Penley is 1689402141. It was assigned to this individual provider in the NPPES registry on July 24, 2024.

Where is Adam Penley located?

Adam Penley practices at 1503 Woodland Ave, Johnson City, TN 37601. The listed phone number is (423) 220-6897.

What is Adam Penley's specialty?

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

Is Adam Penley enrolled in Medicare?

Yes. Adam Penley 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.

Is Adam Penley affiliated with any hospitals?

According to CMS data, Adam Penley is affiliated with Wellmont Bristol Regional Medical Center and Wellmont Holston Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Adam Penley was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.