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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Ms. Earlyn Dorothy Pengelly, M.A., M.S.

Clinical Psychologist in Mankato, MN · enumerated 2007 · practices at Bonnie-Lyn II, Inc..

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

National Provider Identifier

1710004163

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Registry record

Entity type Individual (Type 1)
Name Ms. Earlyn Dorothy Pengelly
Credential M.A., M.S.
Sex Female
Practice address 430 Patterson Ave, Mankato, MN, 56001
Phone (507) 388-5801
Fax (507) 388-2715
Enumeration date Mar 23, 2007
Last updated in NPPES Sep 11, 2025

Taxonomy & licenses

103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers · License LP1114 (MN) Primary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License 4137 (MN) Secondary

Other identifiers

Identifier Type State Issuer
57786PE Other MN BLUE CROSS BLUE SHIELD
120002 Other MN UCARE INSURANCE
6120605 Other MN MEDICA, UBH
HP28654 Other MN HEALTH PARTNERS

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

Is NPI 1710004163 active?
Yes, as of the latest NPPES snapshot, NPI 1710004163 is active (record last updated 2025-09-11).
How do I verify Earlyn Pengelly's NPI record?
Cross-check NPI 1710004163 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.