BRANDON PENZENIK MSN, RN, APRN,FNP-BC
NPI 1750229688
Nurse Practitioner - Family in Mishawaka, IN
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, is affiliated with Saint Joseph Regional Medical Center, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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
Brandon Penzenik Msn, Rn, Aprn,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.
Medicare Billing Reassignment
Medicare enrollment records show Brandon Penzenik reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mishawaka, IN 46545
- Reassigned Medicare billing, Indiana enrollment
- 216 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Joseph Regional Medical Center
Acute Care Hospitals · Mishawaka, INPhysician 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.
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.
MISHAWAKA, IN 46545
MISHAWAKA, IN 46545
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 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.
Where is Brandon Penzenik located?
Brandon Penzenik practices at 5215 Holy Cross Pkwy, Mishawaka, IN 46545. The listed phone number is (574) 335-5000.
What is Brandon Penzenik's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Brandon Penzenik enrolled in Medicare?
Yes. Brandon Penzenik 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.
Which organization bills Medicare for Brandon Penzenik's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brandon Penzenik reassigns Medicare benefits to Saint Joseph Regional Medical Center-South Bend Campus, Inc (Mishawaka, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brandon Penzenik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Brandon Penzenik affiliated with any hospitals?
According to CMS data, Brandon Penzenik is affiliated with Saint Joseph Regional Medical Center.
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 7 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.
# Brandon Penzenik, MSN, RN, APRN,FNP-BC · NPI 1750229688
Family physician in Mishawaka, Indiana. Individual provider, active in the CMS NPPES registry since March 23, 2026.
## Identity
- **NPI:** 1750229688 (Entity type: Individual)
- **Enumerated:** March 23, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 28216044C (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 5215 HOLY CROSS PKWY, Mishawaka, IN 46545-1469
- **Phone:** (574) 335-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Saint Joseph Regional Medical Center-South Bend Campus, Inc (NPI 1699132365, Mishawaka, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** March 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1750229688) · Data from the CMS NPPES public registry.