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

Mary Elizabeth Penkala, CNS

Individual provider Adult Health Clinical Nurse Specialist · NPI 1104260413

Mary Elizabeth Penkala, CNS is a Certified Clinical Nurse Specialist (Cns) in Ravenna, Ohio. Qualified in 1989, 37 years ago. Practices with University Primary Care Practices Inc, a 1,073-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
37
Licensed in
OH
In the registry since
2013
What do these letters mean?
CNS — Clinical Nurse Specialist
An advanced practice nurse specialising in a patient population or setting.

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Practice location Address checks out

6847 N Chestnut St Ste 115
Ravenna, OH 44266-3929
Phone: (330) 297-6055
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Clinical Nurse Specialist (primary) Taxonomy 364SA2200X · Licence APRN.CNS.01044 (OH)

Record details

NPI number1104260413
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNS
Sole proprietorNo
NPI enumeratedApril 18, 2013
Last updated in NPPESJanuary 15, 2021
Certification dateDecember 22, 2020

Medicare enrollment

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

Medicare specialtyCERTIFIED CLINICAL NURSE SPECIALIST (CNS)
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice University Primary Care Practices Inc — 1073 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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