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Active NPI 1760434476 Individual Practitioner Female Practitioner

Penny Louise Flavin

Nurse Practitioner • Pine Island, MN

Professional Overview & Biography Verified Profile Summary

Penny Louise Flavin is a registered healthcare professional specializing in Nurse Practitioner in Pine Island, MN. Practice services are available at 111 COUNTY ROAD 11 NW under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

111 County Road 11 Nw

Pine Island, MN 559639756

Telephone 5073564929
Associated Practice Facility / Clinic
🏢 Omc Retail Services Llc Facility NPI 1841949237

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Pine Island, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Pine Island, MN (2609 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
21.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
16 13 $53.65 $42.40

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MN R0980311

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
632240900 (MN)
Commercial Insurance / Payer ID Medicare Clinic
500002158
Commercial Insurance / Payer ID Medicare Legacy
500002158
Commercial Insurance / Payer ID Npi
1760434476
Commercial Insurance / Payer ID Medicare Hospital
500002159

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1033606710

Doctor of Medicine (M.D.)

Allan Clark

Family Medicine

NPI 1053350371
Peter Brehmer , FNP-BC

Nurse Practitioner - Family

NPI 1063904407

Family Nurse Practitioner (Board Certified)

Jeremy Waldo , CNP

Nurse Practitioner - Family

NPI 1215222708

Certified Nurse Practitioner

NPI 1609006089

Doctor of Medicine (M.D.)

NPI 1770840985

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 13, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location September 13, 2007

Registered at 111 COUNTY ROAD 11 NW, PINE ISLAND, MN 559639756 (Tel: 5073564929)

📍
Updated Business Mailing Address September 13, 2007

Registered at 111 COUNTY ROAD 11 NW, PINE ISLAND, MN 559639756 (Tel: 5073564929)

👤
Provider Name / Credentials Updated September 13, 2007

Recorded as PENNY LOUISE FLAVIN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2007

Nurse Practitioner (License #R0980311 in MN)

🟢
Initial NPI Registration & Enumeration May 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760434476
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 17, 2006
Last Update: September 13, 2007
Sole Proprietor: No

Mailing Address

111 County Road 11 Nw

Pine Island, MN 559639756

Phone: 5073564929

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.