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

Dr. Jeremiah Jon Penn, MD

Individual provider Family Medicine Physician · NPI 1043237522

Dr. Jeremiah Jon Penn, MD is a Family Practice in Bismarck, North Dakota. Graduated from Sanford School of Medicine of University of South Dakota in 2002, 24 years ago. Practices with Innovis Health LLC, a 573-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
24
Trained at
Sanford School of Medicine of University of South Dakota
Licensed in
ND
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3318 N 14th St
Bismarck, ND 58503-1614
Phone: (701) 323-8870
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 9448 (ND)

Record details

NPI number1043237522
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 17, 2006
Last updated in NPPESJuly 31, 2026
Certification dateJuly 31, 2026

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolSANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Graduated 2002 (24 years in practice)
Group practice Innovis Health Llc — 573 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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