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ASHLEY PENA PHYSICIAN ASSISTANT
NPI 1053738880
Physician Assistant in Mcallen, TX

Active since March 18, 2014PECOS EnrolledAccepts Medicare Assignment
100 E RIDGE RD STE A, MCALLEN, TX 78503(956) 682-1888(956) 661-2208 Get Directions Write a Review

NPPES record last updated: July 27, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ashley Pena Physician Assistant NPPES

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

ASHLEY PENA PHYSICIAN ASSISTANT (NPI 1053738880) is an individual physician assistant in Mcallen, Texas, licensed in Texas (PA08966) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, is affiliated with South Texas Health System, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1053738880
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameASHLEY PENACredential: PHYSICIAN ASSISTANT
Location Address100 E RIDGE RD STE AMcallen, TX 78503-1346
Mailing Address100 E Ridge Rd Ste AMcallen, TX 78503-1346 · (956) 682-1888 · Fax (956) 661-2208
Phone(956) 682-1888
Fax(956) 661-2208
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 18, 2014
Last NPPES UpdateJuly 27, 2020
NPPES CertifiedJuly 27, 2020
✔ NPI 1053738880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA08966
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
100 E RIDGE RD STE A, Mcallen, TX 78503
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company 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 and accepts Medicare assignment

Ashley Pena Physician Assistant is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587883293
PECOS Enrollment IDI20140911001031
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
68 services68 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
20 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

South Texas Health System

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450119
Location1102 W Trenton RoadEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

AMANDA MATA PA
Nurse Practitioner
100 E RIDGE RD STE A
MCALLEN, TX 78503
Hidalgo County (956) 682-1888
ANGELA MARIE CRUZ PA
Physician Assistant
100 E RIDGE RD STE A
MCALLEN, TX 78503
Hidalgo County (956) 682-1888

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 Ashley Pena's NPI number?

The NPI number for Ashley Pena is 1053738880. It was assigned to this individual provider in the NPPES registry on March 18, 2014.

Where is Ashley Pena located?

Ashley Pena practices at 100 E Ridge Rd Ste A, Mcallen, TX 78503. The listed phone number is (956) 682-1888.

What is Ashley Pena's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ashley Pena enrolled in Medicare?

Yes. Ashley Pena is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ashley Pena accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company, Sendero Health Plans, Local Nonprofit and UnitedHealthcare list Ashley 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.

Is Ashley Pena affiliated with any hospitals?

According to CMS data, Ashley Pena is affiliated with South Texas Health System.

When was this NPI record last updated?

The NPPES record for Ashley Pena was last updated on July 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.