Robert C. Pennebaker PLLC
NPI 1144657677ActiveOrganization· Nurse Practitioner, Psych/Mental Health· Fayetteville, NC
Nurse Practitioner, Psych/Mental Health in Fayetteville, North Carolina, registered in NPPES in September 2013. The authorized official on file is Robert Christopher Pennebaker, PMHNP-BC, LCSW, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1144657677 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 30, 2013 |
| Last updated in NPPES | Nov 30, 2020 |
| Certified by provider | Nov 30, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | 5005524 | NC |
| Social Worker, Clinical | 1041C0700X | C002032 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NC) |
|---|
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