Ebony Penn
NPI 1477137693 · Family Nurse Practitioner · Belleville, IL
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ebony Penn is a Family Nurse Practitioner provider in Belleville, IL (NPI 1477137693).
Provider details
- NPI number
- 1477137693
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 209022466 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
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
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
Mailing address
Registry dates
- Enumerated
- 2021-05-12
- Last updated
- 2021-05-12
- Certified
- 2021-05-12
Frequently asked questions
- What is Ebony Penn's NPI number?
- Ebony Penn's National Provider Identifier (NPI) is 1477137693, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ebony Penn's specialty?
- Ebony Penn is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Ebony Penn located?
- Ebony Penn's practice location on file with NPPES is 1720 Shadow Ridge Ct Apt H, Belleville, IL 62221-3914.
- What is Ebony Penn's phone number?
- The practice phone number listed in the NPPES registry for Ebony Penn is (618) 409-3082.
- Does Ebony Penn accept Medicare?
- Ebony Penn is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ebony Penn's NPI active?
- Yes — Ebony Penn's NPI (1477137693) is active in the NPPES registry as of the last update on 2021-05-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.