Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104369610 Individual Practitioner Female Practitioner

Penny Mims , CNP

Nurse Practitioner • Ypsilanti, MI

Professional Overview & Biography Verified Profile Summary

Penny Mims, CNP is a registered healthcare professional specializing in Nurse Practitioner in Ypsilanti, MI. Practice services are available at 5301 E HURON RIVER DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5301 E Huron River Dr

Ypsilanti, MI 481971051

Telephone 7347128676
Fax 7347123855
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Ypsilanti, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.7 Yrs
State Avg: 10.8 Yrs
Regional Practice Density
58 Specialists

Practicing in Ypsilanti, MI (3626 Statewide)

Telehealth Adoption Rate
12.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MI 4704180055

(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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003030750

Doctor of Medicine (M.D.)

Dr. Kelly Apple , MD

Internal Medicine

NPI 1003043001

Doctor of Medicine (M.D.)

Dr. Kory Strong , DO

Internal Medicine

NPI 1003433459

Doctor of Osteopathic Medicine (D.O.)

Morgan Murdock , CNP

Internal Medicine - Addiction Medicine

NPI 1003488537

Certified Nurse Practitioner

Erin Prentice , NP

Nurse Practitioner

NPI 1013216522

Nurse Practitioner

Dr. Divya Maheshwari , MD

Internal Medicine

NPI 1023046778

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 December 01, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 01, 2016

Registered at 5301 E HURON RIVER DR, YPSILANTI, MI 481971051 (Tel: 7347128676)

📍
Updated Business Mailing Address December 01, 2016

Registered at 24 FRANK LLOYD WRIGHT DR, PO BOX 0446 - LOBBY J, ANN ARBOR, MI 481059484 (Tel: 7347476766)

👤
Provider Name / Credentials Updated December 01, 2016

Recorded as PENNY MIMS, CNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2016

Nurse Practitioner (License #4704180055 in MI)

🟢
Initial NPI Registration & Enumeration December 01, 2016

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: 1104369610
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2016
Last Update: December 01, 2016
Sole Proprietor: No

Mailing Address

24 Frank Lloyd Wright Dr, Po Box 0446 - Lobby J

Ann Arbor, MI 481059484

Phone: 7347476766

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.