SHELLEY PENNA NP
NPI 1831109602
Nurse Practitioner - Family in Haverhill, MA
About Shelley Penna Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHELLEY PENNA NP (NPI 1831109602) is an individual family provider in Haverhill, Massachusetts, licensed in Massachusetts (264644) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Winchester Hospital, and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Shelley Penna Np 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 Reassignments
2Medicare enrollment records show Shelley Penna reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Beverly, MA 01915
- Reassigned Medicare billing, Massachusetts enrollment
- Medicare enrollment name: Forefront Dermatology Sc
- 5 clinicians in this Medicare group
Burlington, MA 01803
- Reassigned Medicare billing, Massachusetts enrollment
- 5 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.
Winchester Hospital
Acute Care Hospitals · Winchester, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01830 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 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HAVERHILL, MA 01830
HAVERHILL, MA 01830
HAVERHILL, MA 01830
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 Shelley Penna's NPI number?
The NPI number for Shelley Penna is 1831109602. It was assigned to this individual provider in the NPPES registry on August 8, 2006.
Where is Shelley Penna located?
Shelley Penna practices at 1 Park Way, Haverhill, MA 01830. The listed phone number is (978) 521-3270.
What is Shelley Penna's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shelley Penna enrolled in Medicare?
Yes. Shelley Penna 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 organizations bill Medicare for Shelley Penna's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shelley Penna reassigns Medicare benefits to 2 organizations: Forefront Dermatology, S.C. (Beverly, MA) and Dermphysicians Of New England LLC (Burlington, MA). Each 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 Shelley Penna's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Shelley Penna affiliated with any hospitals?
According to CMS data, Shelley Penna is affiliated with Winchester Hospital.
When was this NPI record last updated?
The NPPES record for Shelley Penna was last updated on September 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Shelley Penna, NP · NPI 1831109602
Family physician in Haverhill, Massachusetts. Individual provider, active in the CMS NPPES registry since August 8, 2006.
## Identity
- **NPI:** 1831109602 (Entity type: Individual)
- **Enumerated:** August 8, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 264644 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 PARK WAY, Haverhill, MA 01830-6278
- **Phone:** (978) 521-3270 · **Fax:** (978) 469-5320
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Forefront Dermatology, S.C. (NPI 1518887967, Beverly, MA); Dermphysicians Of New England LLC (NPI 1558834523, Burlington, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** September 11, 2019
- **Other identifiers:** Other NP5445 (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1831109602) · Data from the CMS NPPES public registry.