Kathlyn Penick, PA
NPI 1558091157 · Physician Assistant · Orange City, FL
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kathlyn Penick, PA is a Physician Assistant provider in Orange City, FL (NPI 1558091157).
Provider details
- NPI number
- 1558091157
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- PA9116046 (FL)
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
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Additional practice locations (2)
- 805 N Spring Garden AveDeland, FL 32720-3144Phone: (386) 734-1013
- 2776 Enterprise Rd Ste 100Orange City, FL 32763-8316Phone: (386) 774-1223
Registry dates
- Enumerated
- 2022-06-15
- Last updated
- 2025-02-10
- Certified
- 2025-02-10
Frequently asked questions
- What is Kathlyn Penick's NPI number?
- Kathlyn Penick's National Provider Identifier (NPI) is 1558091157, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kathlyn Penick's specialty?
- Kathlyn Penick is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kathlyn Penick located?
- Kathlyn Penick's practice location on file with NPPES is 2824 Enterprise Rd, Orange City, FL 32763-8428.
- What is Kathlyn Penick's phone number?
- The practice phone number listed in the NPPES registry for Kathlyn Penick is (386) 774-7411.
- Does Kathlyn Penick accept Medicare?
- Kathlyn Penick is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kathlyn Penick's NPI active?
- Yes — Kathlyn Penick's NPI (1558091157) is active in the NPPES registry as of the last update on 2025-02-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.