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RUTH PENA PA-C
NPI 1033496930
Physician Assistant - Medical in New Berlin, WI

Active since November 07, 2011PECOS Enrolled
14555 W NATIONAL AVE, NEW BERLIN, WI 53151(262) 693-4312 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 17, 2025, Apr 3, 2025, Nov 21, 2016 (3 updates tracked since 2016).

About Ruth Pena Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUTH PENA PA-C (NPI 1033496930) is an individual medical provider in New Berlin, Wisconsin, licensed in Illinois (085007424) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Downers Grove, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1033496930
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameRUTH PENACredential: PA-C
Location Address14555 W NATIONAL AVENew Berlin, WI 53151-4494
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900
Phone(262) 693-4312
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateNovember 7, 2011
Last NPPES UpdateJune 17, 20253 updates tracked since enumeration
NPPES CertifiedJune 17, 2025
✔ NPI 1033496930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in IL · 085007424✔ Licensed in CA · PA21981
Also ListedPhysician AssistantTaxonomy 363A00000X · License 8281-23 (WI)
14555 W NATIONAL AVE, New Berlin, WI 53151
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Secondary Practice Location 1

Location 11441 Branding Ave Ste 310Downers Grove, IL 60515-5624 · Phone (708) 634-0950 · Fax (708) 634-0942

Other Identifiers 1

Medicaid100317341WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ruth Pena Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264691906
PECOS Enrollment IDI20251002000059, I20260401003756
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ANNE E WALZ CALVEY PA-C
Physician Assistant
14555 W NATIONAL AVE, SUITE 165
NEW BERLIN, WI 53151
Waukesha County (262) 827-3636
ORITSETIMEYIN E OTUBU-SCIPIO M.D.
Family Medicine
14555 W NATIONAL AVE
NEW BERLIN, WI 53151
Waukesha County (844) 284-0381
MICHELLE L MARTIN APNP
Nurse Practitioner
14555 W NATIONAL AVE
NEW BERLIN, WI 53151
Waukesha County (262) 827-2955
BRIAN P. MCSORLEY M.D.
Family Medicine
14555 W NATIONAL AVE
NEW BERLIN, WI 53151
Waukesha County (262) 827-2955
MARA M. SPENCER M.P.T.
Physical Therapist
14555 W NATIONAL AVE, STE. 135
NEW BERLIN, WI 53151
Waukesha County (262) 827-3180
DR. CHRISTINE MIERHA YANG R.PH
Pharmacist
14555 W NATIONAL AVE
NEW BERLIN, WI 53151
Waukesha County (262) 827-9062
KYLA PHU APN
Nurse Practitioner
14555 W NATIONAL AVE
NEW BERLIN, WI 53151
Waukesha County (844) 284-0381
LAUREN SWEET
Nurse Practitioner (Acute Care)
14555 W NATIONAL AVE
NEW BERLIN, WI 53151
Waukesha County (708) 550-6604

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ruth Pena's NPI number?

The NPI number for Ruth Pena is 1033496930. It was assigned to this individual provider in the NPPES registry on November 7, 2011.

Where is Ruth Pena located?

Ruth Pena practices at 14555 W National Ave, New Berlin, WI 53151. The listed phone number is (262) 693-4312.

What is Ruth Pena's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Ruth Pena enrolled in Medicare?

Yes. Ruth Pena is registered in the Medicare PECOS enrollment system.

What insurance does Ruth Pena accept?

Health plans from Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, CareSource (Common Ground Healthcare), InStil Health and Oscar Health Plan of North Carolina, Inc and 1 other insurer list Ruth Pena as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ruth Pena was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.