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

Dr. Pennie Elizabeth Bucilla, APRNCNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1104225499

Dr. Pennie Elizabeth Bucilla, APRNCNP is a Nurse Practitioner in Burnsville, Minnesota. Qualified in 2014, 12 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
12
Licensed in
MN
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

1500 McAndrews Rd W
Burnsville, MN 55337
Phone: (952) 892-9393
Fax: (952) 800-8892
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R156407-9 CNP1972 (MN)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence R156407-9 (MN)

Record details

NPI number1104225499
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRNCNP
Sole proprietorYes
NPI enumeratedAugust 22, 2014
Last updated in NPPESSeptember 23, 2020
Certification dateSeptember 23, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Burnsville