BRANDON PENZENIK MSN, RN, APRN,FNP-BC
NPI 1750229688
Nurse Practitioner - Family in Mishawaka, IN

Q: What is Brandon Penzenik's NPI number?

The NPI number for Brandon Penzenik is 1750229688. It was assigned to this individual provider in the NPPES registry on March 23, 2026.

Q: What is Brandon Penzenik'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 Brandon Penzenik was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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 March 23, 2026PECOS Enrolled

5215 HOLY CROSS PKWY, MISHAWAKA, IN 46545(574) 335-5000 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Brandon Penzenik Msn, Rn, Aprn,fnp-bc NPPES

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

BRANDON PENZENIK MSN, RN, APRN,FNP-BC (NPI 1750229688) is an individual family provider in Mishawaka, Indiana, licensed in Indiana (28216044C) and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750229688

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameBRANDON PENZENIKCredential: MSN, RN, APRN,FNP-BC

Location Address5215 HOLY CROSS PKWYMishawaka, IN 46545-1469

Mailing Address5215 Holy Cross PkwyMishawaka, IN 46545-1469 · (574) 335-5000

Phone(574) 335-5000

Sole ProprietorNo

Enumeration DateMarch 23, 2026

NPPES CertifiedMarch 23, 2026

✔ NPI 1750229688 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 IN · 28216044C

5215 HOLY CROSS PKWY, Mishawaka, IN 46545

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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)

Brandon Penzenik Msn, Rn, Aprn,fnp-bc 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 46545 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

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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.

MINI SRA

Internal Medicine