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Jennifer Anne Pennington, D.O.

Family Medicine Physician in Mishawaka, IN · enumerated 2007 · practices at Beacon Medical Group, Inc..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114145687

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Registry record

Entity type Individual (Type 1)
Name Jennifer Anne Pennington
Credential D.O.
Sex Female
Practice address 4630 Vistula Rd, Mishawaka, IN, 46544
Fax (574) 254-7222
Enumeration date Apr 23, 2007
Last updated in NPPES Mar 31, 2021

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 02003207A (IN) Primary
DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier Type State Issuer
000000533533 Other IN BCBS BMG SCHWARTZ-WIEKAMP
200874950 Medicaid IN -
P00734479 Other IN RR MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Jennifer Pennington practice?
The practice location on file with NPPES is in Mishawaka, IN. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Jennifer Pennington?
The National Provider Identifier (NPI) for Jennifer Pennington is 1114145687, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-03-31.