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

Mr. Warren Larry Penrod, FNP, BC

Individual provider Family Nurse Practitioner · NPI 1851590269

Mr. Warren Larry Penrod, FNP, BC is a Nurse Practitioner in South Bend, Indiana. Qualified in 2007, 19 years ago. Practices with Pulaski Memorial Hospital, a 44-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
19
Licensed in
IN
In the registry since
2007
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.
BC — Board Certified
Appended to another credential to show current board certification, as in APRN-BC.

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Practice location Address checks out

333 W Western Ave
South Bend, IN 46601
Phone: (574) 299-4847
Fax: (574) 299-9073
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 28135343A (IN)

Record details

NPI number1851590269
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP , BC
Sole proprietorNo
NPI enumeratedJuly 16, 2007
Last updated in NPPESJune 3, 2013

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Pulaski Memorial Hospital — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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