Mark Penninger is one of 876 nurse practitioners practicing in Fort Worth, Texas .
Mark Penninger practices with Cook Childrens Physician Network.
Registry record (NPPES)
NPI
1184010167
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Family · 363LF0000X
Address on file
1500 Cooper St
Enumerated
Apr 7, 2015
Record last updated
Apr 19, 2021
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXNurse Practitioner
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
10601 N Riverside DrFort Worth , TX 76244
1500 Cooper StFort Worth , TX 76104
801 7th AveFort Worth , TX 76104
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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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