MR. ANDREW DUNCAN PENN RN, NP, CNS
NPI 1861564312
Nurse Practitioner - Psychiatric/Mental Health in La Jolla, CA

Active since November 13, 2006PECOS Enrolled
4180 LA JOLLA VILLAGE DR STE 240-250, LA JOLLA, CA 92037(415) 793-9240 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 5, 2025, Sep 11, 2025 (2 updates tracked since 2025).

About Mr. Andrew Duncan Penn Rn, Np, Cns NPPES

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

MR. ANDREW DUNCAN PENN RN, NP, CNS (NPI 1861564312) is an individual psychiatric/mental health provider in La Jolla, California, licensed in California (15914) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861564312
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. ANDREW DUNCAN PENNCredential: RN, NP, CNS
Location Address4180 LA JOLLA VILLAGE DR STE 240-250La Jolla, CA 92037-1402
Mailing Address4180 La Jolla Village Dr Ste 240-250La Jolla, CA 92037-1402 · (415) 793-9240
Sole ProprietorNo
Enumeration DateNovember 13, 2006
Last NPPES UpdateNovember 5, 20252 updates tracked since enumeration
NPPES CertifiedNovember 5, 2025
NPI 1861564312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in CA · 15914
Also ListedRegistered NurseTaxonomy 163W00000X · License 621643 (CA)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 15914 (CA)
Also ListedClinical Nurse Specialist · Psychiatric/Mental HealthTaxonomy 364SP0808X · License 2311 (CA)
4180 LA JOLLA VILLAGE DR STE 240-250, La Jolla, CA 92037

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Andrew Duncan Penn Rn, Np, Cns 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 92037 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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

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

Marriage & Family Therapist
4180 LA JOLLA VILLAGE DR STE 240-250
LA JOLLA, CA 92037

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 Andrew Penn's NPI number?

The NPI number for Andrew Penn is 1861564312. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Andrew Penn located?

Andrew Penn practices at 4180 La Jolla Village Dr Ste 240-250, La Jolla, CA 92037. The listed phone number is (415) 793-9240.

What is Andrew Penn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Andrew Penn enrolled in Medicare?

Yes. Andrew Penn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrew Penn was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.