MEDICARE: BRANDON PENZENIK MSN, RN, APRN,FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	28216044C	IN

General Provider Information

NPI Number	:	1750229688
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDON PENZENIK MSN, RN, APRN,FNP-BC

Provider Business Mailing Address
First Line	:	5215 HOLY CROSS PKWY
Second Line	:
City	:	MISHAWAKA
State	:	IN
Zip	:	46545-1469
Country	:	US
Telephone Number	:	574-335-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	5215 HOLY CROSS PKWY
Second Line	:
City	:	MISHAWAKA
State	:	IN
Zip	:	46545-1469
Country	:	US
Telephone Number	:	574-335-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

Similar Medicare Providers

1699132365 — SAINT JOSEPH REGIONAL MEDICAL CENTER-SOUTH BEND CAMPUS, INC
Practice Location Address:

5215 HOLY CROSS PARKWAY
MISHAWAKA, IN
46545-1469

Practice Phone: 574-335-5000
Practice Fax: 574-335-1011

1356345797 — THOMAS P VARIED M.D.
Practice Location Address:

5215 HOLY CROSS PARKWAY
MISHAWAKA, IN
46545-1469

Practice Phone: 574-335-5000
Practice Fax: 574-472-6262

1164422002 — JONATHAN NEIL SHENK MD
Practice Location Address:

5215 HOLY CROSS PKWY , EMERGENCY DEPARTMENT
MISHAWAKA, IN
46545-1469

Practice Phone: 574-335-5000
Practice Fax:

1053308551 — DR. ELIZABETH MARIE LAUBER M.D.
Practice Location Address:

5215 HOLY CROSS PKWY
MISHAWAKA, IN
46545-1469

Practice Phone: 574-335-2521
Practice Fax: 574-335-2262

1780671883 — DR. TAEGEE KIEHM M.D.
Practice Location Address:

5215 HOLY CROSS PARKWAY
MISHAWAKA, IN
46545-1469

Practice Phone: 574-237-7168
Practice Fax: 574-472-6262

1700877339 — DR. MARK JAY MCGILLEM M.D.
Practice Location Address:

5215 HOLY CROSS PKWY
MISHAWAKA, IN
46545-1469

Practice Phone: 574-335-2521
Practice Fax: 574-335-2262

Directions to “ BRANDON PENZENIK MSN, RN, APRN,FNP-BC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.