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

Holly Penkacik, APRN

Individual provider Gerontology Nurse Practitioner · NPI 1285186288

Holly Penkacik, APRN is a Nurse Practitioner in West Haven, Connecticut. Qualified in 2016, 10 years ago. Practices with Hhc Physician Services PLLC, a 136-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
10
Licensed in
CT
In the registry since
2016
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

1 Cellini Pl Ste 102
West Haven, CT 06516-1666
Phone: (203) 932-6481
Fax: (203) 932-4051
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 6797 (CT)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 12.006797 (CT)

Record details

NPI number1285186288
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedOctober 26, 2016
Last updated in NPPESMarch 21, 2023
Certification dateMarch 21, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Hhc Physician Services Pllc — 136 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in West Haven