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

Pennie Khong, NP

Individual provider Family Nurse Practitioner · NPI 1770192924

Pennie Khong, NP is a Nurse Practitioner in Copperopolis, California. Qualified in 2020, 6 years ago. Practices with Virginia Mason Medical Center, a 867-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
6
Licensed in
WA
In the registry since
2020
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

3505 Spangler Ln Ste 400
Copperopolis, CA 95228-9424
Phone: (209) 785-7000
Show map & directions

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

Additional practice locations (1)

  • 11104 Ne 154th St, Bothell, WA 98011-4833 — (206) 859-3302

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP61090460 (WA)

Record details

NPI number1770192924
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedJuly 23, 2020
Last updated in NPPESAugust 16, 2021
Certification dateMarch 11, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Virginia Mason Medical Center — 867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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