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

Haley Elaine Penkal

Individual provider Physician Assistant · NPI 1053254128

Haley Elaine Penkal is a Physician Assistant in Dayton, Ohio. Qualified in 2025, 1 year ago. Works from 3 locations. Licensed in Ohio.

Years since qualifying
1
Licensed in
OH
In the registry since
2026
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Practice location Address checks out

1 Wyoming St
Dayton, OH 45409-2722
Phone: (937) 709-5051
Fax: (937) 709-5050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • Po Box 750243, Dayton, OH 45475-0243 — (877) 235-7686
  • 9000 N Main St Ste 233, Englewood, OH 45415-1184 — (937) 832-9310

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.010175RX (OH)

Record details

NPI number1053254128
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 13, 2026
Last updated in NPPESMay 21, 2026
Certification dateMay 21, 2026

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)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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