Emily Pengelly, PA-C, MD
NPI 1699072470 · Student in an Organized Health Care Education/Training Program · Santa Rosa, CA
Enrolled with Medicare as Order and Referring Only - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Emily Pengelly, PA-C, MD is a Student in an Organized Health Care Education/Training Program provider in Santa Rosa, CA (NPI 1699072470).
Provider details
- NPI number
- 1699072470
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- PA-C, MD
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
15 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
43 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 30 | $104 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 13 | $9 |
Typical Medicare-allowed amounts for these services range $9–$104 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (1)
- 331 Olcott Dr Ste U3White River Junction, VT 05001-9263Phone: (802) 295-6132
Registry dates
- Enumerated
- 2011-02-14
- Last updated
- 2024-03-17
- Certified
- 2024-03-17
Frequently asked questions
- What is Emily Pengelly's NPI number?
- Emily Pengelly's National Provider Identifier (NPI) is 1699072470, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Emily Pengelly's specialty?
- Emily Pengelly is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Emily Pengelly located?
- Emily Pengelly's practice location on file with NPPES is 401 Bicentennial Way, Santa Rosa, CA 95403-2149.
- What is Emily Pengelly's phone number?
- The practice phone number listed in the NPPES registry for Emily Pengelly is (707) 495-3732.
- Does Emily Pengelly accept Medicare?
- Emily Pengelly is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Emily Pengelly's NPI active?
- Yes — Emily Pengelly's NPI (1699072470) is active in the NPPES registry as of the last update on 2024-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.