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

Nicole Penke, MD

Individual provider Internal Medicine Physician · NPI 1356530331

Nicole Penke, MD is an Ophthalmology in Manassas, Virginia. Graduated from State University of New York at Buffalo School of Medicine in 2007, 19 years ago. Practices with Duke Health Integrated Practice Inc, a 3,094-clinician group and accepts Medicare assignment. Licensed in Ohio and Virginia.

Years since qualifying
19
Trained at
State University of New York at Buffalo School of Medicine
Licensed in
OH, VA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8140 Ashton Ave Ste 120
Manassas, VA 20109-5699
Phone: (703) 361-3128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 0101249998 (VA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 57013584 (OH)

Record details

NPI number1356530331
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 16, 2007
Last updated in NPPESJuly 21, 2011
Mailing address1660 N Quinn St, Arlington, VA 22209-2817

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Duke Health Integrated Practice Inc — 3094 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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