Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chase Roger Pennewell, PA

Individual provider Physician Assistant · NPI 1619739604

Chase Roger Pennewell, PA is a Physician Assistant in Leawood, Kansas. Qualified in 2025, 1 year ago. Practices with Ascentist Physicians Group LLC, a 109-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
1
Licensed in
KS
In the registry since
2024
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4801 College Blvd
Leawood, KS 66211-1628
Phone: (913) 721-3387
Fax: (816) 875-2597
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 15-03086 (KS)

Record details

NPI number1619739604
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 25, 2024
Last updated in NPPESJuly 8, 2025
Certification dateJuly 8, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Ascentist Physicians Group Llc — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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