JOSEPH PENN
NPI 1982492823
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 29, 2025PECOS Enrolled

1111 E MCDOWELL RD, PHOENIX, AZ 85006(602) 839-2266 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Joseph Penn NPPES

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

JOSEPH PENN (NPI 1982492823) is an individual student in an organized health care education/training program in Phoenix, Arizona, licensed in Arizona (R81712) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982492823

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJOSEPH PENN

Location Address1111 E MCDOWELL RDPhoenix, AZ 85006-2612

Mailing Address1111 E Mcdowell RdPhoenix, AZ 85006-2612 · (602) 839-2266

Phone(602) 839-2266

Sole ProprietorNo

Enumeration DateApril 29, 2025

NPPES CertifiedApril 20, 2025

✔ NPI 1982492823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in AZ · R81712

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1111 E MCDOWELL RD, Phoenix, AZ 85006

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joseph Penn 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.