LINNEA PENNYCUFF R.D., C.D.
NPI 1871587451
Dietitian, Registered - Nutrition, Metabolic in Bloomington, IN

Active since September 09, 2005
4011 S MONROE MEDICAL PARK BLVD, BLOOMINGTON, IN 47403(812) 825-1111 Get Directions Write a Review

NPPES record last updated: September 3, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Linnea Pennycuff R.d., C.d. NPPES

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

LINNEA PENNYCUFF R.D., C.D. (NPI 1871587451) is an individual nutrition, metabolic provider in Bloomington, Indiana, licensed in Indiana (37001516A) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1871587451
Entity TypeIndividualFemale
Primary Taxonomy133VN1006X
Provider Legal NameLINNEA PENNYCUFFCredential: R.D., C.D.
Location Address4011 S MONROE MEDICAL PARK BLVDBloomington, IN 47403-8000
Mailing Address4011 S Monroe Medical Park BlvdBloomington, IN 47403-8000 · (812) 825-1111
Sole ProprietorNo
Enumeration DateSeptember 9, 2005
Last NPPES UpdateSeptember 3, 2013
✔ NPI 1871587451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, MetabolicDietary & Nutritional Service Providers
Taxonomy Code133VN1006X
License✔ Licensed in IN · 37001516A
Definition
A registered dietitian who achieves specialized competency in metabolic nutrition.
4011 S MONROE MEDICAL PARK BLVD, Bloomington, IN 47403

Other Names 1

Former Name (1)Linnea Nikirk R.d., C.d

Other Identifiers 2

Medicare ID-Type Unspecified940090WWWIN · Dietitian
Medicare UPINQ10120IN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Linnea Pennycuff R.d., C.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Monroe Medical Group Inc
  • Reassigned Medicare billing, Indiana enrollment
  • 48 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.

Other Providers at the Same Location NPPES 14

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

Emergency Medicine
4011 S MONROE MEDICAL PARK BLVD
BLOOMINGTON, IN 47403
Emergency Medicine
4011 S MONROE MEDICAL PARK BLVD
BLOOMINGTON, IN 47403
Anesthesiology
4011 S MONROE MEDICAL PARK BLVD
BLOOMINGTON, IN 47403
Hospitalist
4011 S MONROE MEDICAL PARK BLVD
BLOOMINGTON, IN 47403
Radiology (Diagnostic Radiology)
4011 S MONROE MEDICAL PARK BLVD
BLOOMINGTON, IN 47403
Emergency Medicine
4011 S MONROE MEDICAL PARK BLVD
BLOOMINGTON, IN 47403
Emergency Medicine
4011 S MONROE MEDICAL PARK BLVD
BLOOMINGTON, IN 47403
Physician Assistant
4011 S MONROE MEDICAL PARK BLVD
BLOOMINGTON, IN 47403

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 Linnea Pennycuff's NPI number?

The NPI number for Linnea Pennycuff is 1871587451. It was assigned to this individual provider in the NPPES registry on September 9, 2005. The provider is also known as Linnea Nikirk R.D., C.D.

Where is Linnea Pennycuff located?

Linnea Pennycuff practices at 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403. The listed phone number is (812) 825-1111.

What is Linnea Pennycuff's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Metabolic, with taxonomy code 133VN1006X.

Is Linnea Pennycuff enrolled in Medicare?

Yes. Linnea Pennycuff is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Linnea Pennycuff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Linnea Pennycuff reassigns Medicare benefits to Monroe Medical Group Inc (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 Linnea Pennycuff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Linnea Pennycuff was last updated on September 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.