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Maritta Penegor, NP-BC
NPI 1205947983 · Nurse Practitioner · Dyer, IN
Maritta Penegor, NP-BC is a Nurse Practitioner provider in Dyer, IN (NPI 1205947983).
Provider details
- NPI number
- 1205947983
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 70000040A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
24 Joliet St
Suite 401
Dyer, IN 46311-1705
Phone: (219) 865-0893
Fax: (219) 865-3599
Street-level locationGet directions
Mailing address
3615 Park Dr
Olympia Fields, IL 60461-1186
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2007-09-27
Frequently asked questions
- What is Maritta Penegor's NPI number?
- Maritta Penegor's National Provider Identifier (NPI) is 1205947983, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Maritta Penegor's specialty?
- Maritta Penegor is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Maritta Penegor located?
- Maritta Penegor's practice location on file with NPPES is 24 Joliet St, Dyer, IN 46311-1705.
- What is Maritta Penegor's phone number?
- The practice phone number listed in the NPPES registry for Maritta Penegor is (219) 865-0893.
- Is Maritta Penegor's NPI active?
- Yes — Maritta Penegor's NPI (1205947983) is active in the NPPES registry as of the last update on 2007-09-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.