MR. REGGIE DARNELL PENNYPACKER APRN-CNP NPI 1275960304

NPI Information

  • NPI: 1275960304
  • Provider Name: MR. REGGIE DARNELL PENNYPACKER, APRN-CNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 37D2169018
  • Address: 3125 BROOKWOOD AVE
    DUNCAN, OK
    ZIP 73533
  • Phone: (580) 786-4018

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NPI Details

MR. Reggie Darnell Pennypacker, APRN-CNP is a family nurse practitioner in Duncan, OK with 13 years of experience. MR. Reggie Darnell Pennypacker, APRN-CNP NPI is 1275960304. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3125 BROOKWOOD AVE
DUNCAN, OK
ZIP 73533-362
Phone: (580) 786-4018
Fax: (580) 786-4021

The NPI 1275960304 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 37D2169018 - other - nurse practioner with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Urine microalbumin (protein) analysis (HCPCS:82044)
  • Creatinine level to test for kidney function or muscle injury (HCPCS:82570)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Automated urinalysis test (HCPCS:81003)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Blood test, clotting time (HCPCS:85610)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
  • Anticoagulant management of patient taking warfarin (HCPCS:93793)
  • Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99439)
  • Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99487)
  • Transitional care management services for problem of high complexity (HCPCS:99496)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) (HCPCS:G0506)
  • Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a (HCPCS:G0179)
  • Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
  • Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99489)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free (HCPCS:90674)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Coronavirus vaccine 14 (HCPCS:91313)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Hemoglobin a1c level (HCPCS:83036)
  • Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) (HCPCS:87811)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
  • Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)
  • Blood glucose (sugar) level (HCPCS:82947)
  • Administration of vaccine (HCPCS:90471)
  • Transitional care management services for problem of moderate complexity (HCPCS:99495)

The enumeration date for this NPI number is 10/3/2013 and was last updated on 9/13/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP2300XNurse PractitionerPrimary Care76980OKLAHOMANo
2363LF0000XNurse PractitionerFamily76980OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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