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MAKAYLA MARIE PENNER MD
NPI 1780260372
Pediatrics in Fort Worth, TX

Active since March 23, 2021PECOS Enrolled
6421 MCCART AVE, FORT WORTH, TX 76133(817) 263-7500(817) 423-4140 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 10, 2024, Mar 23, 2021 (2 updates tracked since 2021).

About Makayla Marie Penner Md NPPES

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

MAKAYLA MARIE PENNER MD (NPI 1780260372) is an individual pediatrics provider in Fort Worth, Texas, licensed in Texas (U9054) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780260372
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMAKAYLA MARIE PENNERCredential: MD
Location Address6421 MCCART AVEFort Worth, TX 76133-4702
Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-6483 · Fax (682) 885-3113
Phone(817) 263-7500
Fax(817) 423-4140
Sole ProprietorNo
Enumeration DateMarch 23, 2021
Last NPPES UpdateSeptember 10, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2024
✔ NPI 1780260372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · U9054
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
6421 MCCART AVE, Fort Worth, TX 76133
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Makayla Marie Penner Md 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.

Medicare Billing Reassignment

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

Cook Children's Physician Network
6.0 mi
Developmental - Behavioral Pediatrics
1500 COOPER ST
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Cook Childrens Physician Network
  • 1,186 clinicians in this Medicare group
NPI 1548230923 (682) 303-9200

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76133 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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 13

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

DR. CHRISTINA ATEEK D.O.
Pediatrics
6421 MCCART AVE
FORT WORTH, TX 76133
Tarrant County (817) 263-7500
JACQUELINE FAITH SWINEY PNP-PC
Nurse Practitioner (Primary Care)
6421 MCCART AVE
FORT WORTH, TX 76133
Tarrant County (817) 263-7500
DR. INDRAN CHENG LIU DO
Pediatrics
6421 MCCART AVE
FORT WORTH, TX 76133
Tarrant County (817) 263-7500
ASHA S JAYACHANDRAN MD
Pediatrics
6421 MCCART AVE
FORT WORTH, TX 76133
Tarrant County (817) 263-7500
PETER S LAZARUS MD
Pediatrics
6421 MCCART AVE
FORT WORTH, TX 76133
Tarrant County (817) 263-7500
KARA L STEWART MD
Pediatrics
6421 MCCART AVE
FORT WORTH, TX 76133
Tarrant County (817) 263-7500
MISS CARLY ANNE CHILDS CPNP
Nurse Practitioner (Primary Care)
6421 MCCART AVE
FORT WORTH, TX 76133
Tarrant County (817) 263-7500
JOSHUA SNELLGROVE
Licensed Vocational Nurse
6421 MCCART AVE
FORT WORTH, TX 76133
Tarrant County (817) 263-7500

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 Makayla Penner's NPI number?

The NPI number for Makayla Penner is 1780260372. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Where is Makayla Penner located?

Makayla Penner practices at 6421 Mccart Ave, Fort Worth, TX 76133. The listed phone number is (817) 263-7500.

What is Makayla Penner's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Makayla Penner enrolled in Medicare?

Yes. Makayla Penner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Makayla Penner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Makayla Penner reassigns Medicare benefits to Cook Children's Physician Network (Fort Worth, TX). 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 Makayla Penner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Makayla Penner accept?

Health plans from Baylor Scott and White Health Plan list Makayla Penner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Makayla Penner was last updated on September 10, 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.