What is Micah Penco's NPI number?

Micah Penco's National Provider Identifier (NPI) is 1255929402, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Micah Penco's specialty?

Micah Penco is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).

Where is Micah Penco located?

Micah Penco's practice location on file with NPPES is 3702 Camden Ave, Parkersburg, WV 26101-6333.

What is Micah Penco's phone number?

The practice phone number listed in the NPPES registry for Micah Penco is (304) 485-6405.

Is Micah Penco's NPI active?

Yes — Micah Penco's NPI (1255929402) is active in the NPPES registry as of the last update on 2021-01-04.

IndividualActive

Micah Penco

NPI 1255929402 · Community Health Worker · Parkersburg, WV

Micah Penco is a Community Health Worker provider in Parkersburg, WV (NPI 1255929402).

Provider details

NPI number: 1255929402
Entity type: Individual
Primary specialty: Community Health WorkerOther Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Community Health WorkerPrimary172V00000X
Other Service Providers

Profile Score

Established profile(56/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
5 yrs in NPPES registry
Profile completeness38% of score
83% 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

3702 Camden Ave

Parkersburg, WV 26101-6333

Phone: (304) 485-6405

Street-level locationGet directions

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Mailing address