JACQUELINE PENA
NPI 1073163564
Counselor - Professional in Minneapolis, MN

Active since September 17, 2019PECOS EnrolledAccepts Medicare Assignment
3801 W 50TH ST STE 250B, MINNEAPOLIS, MN 55410(612) 400-9685 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacqueline Pena NPPES

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

JACQUELINE PENA (NPI 1073163564) is an individual professional provider in Minneapolis, Minnesota, licensed in Minnesota (4397) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1073163564
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJACQUELINE PENA
Location Address3801 W 50TH ST STE 250BMinneapolis, MN 55410-2070
Mailing Address3165 Countryside Ave Unit FSaint Paul, MN 55129-7833 · (704) 451-8011
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 17, 2019
Last NPPES UpdateMay 30, 2024
NPPES CertifiedMay 30, 2024
NPI 1073163564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MN · 4397
3801 W 50TH ST STE 250B, Minneapolis, MN 55410

Accepted 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

Jacqueline Pena 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 ID7012459415
PECOS Enrollment IDI20240612002666
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 13

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

Counselor (Mental Health)
3801 W 50TH ST STE 250B
MINNEAPOLIS, MN 55410
Counselor (Mental Health)
3801 W 50TH ST STE 250B
MINNEAPOLIS, MN 55410
Social Worker (Clinical)
3801 W 50TH ST STE 250B
MINNEAPOLIS, MN 55410
Social Worker (Clinical)
3801 W 50TH ST STE 250B
MINNEAPOLIS, MN 55410
Social Worker (Clinical)
3801 W 50TH ST STE 250B
MINNEAPOLIS, MN 55410
Counselor (Mental Health)
3801 W 50TH ST STE 250B
MINNEAPOLIS, MN 55410
Psychologist
3801 W 50TH ST STE 250B
MINNEAPOLIS, MN 55410
Counselor (Professional)
3801 W 50TH ST STE 250B
MINNEAPOLIS, MN 55410

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 Jacqueline Pena's NPI number?

The NPI number for Jacqueline Pena is 1073163564. It was assigned to this individual provider in the NPPES registry on September 17, 2019.

Where is Jacqueline Pena located?

Jacqueline Pena practices at 3801 W 50th St Ste 250B, Minneapolis, MN 55410. The listed phone number is (612) 400-9685.

What is Jacqueline Pena's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jacqueline Pena enrolled in Medicare?

Yes. Jacqueline 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 Jacqueline Pena accept?

Health plans from HealthPartners, Providence Health Plan and Sanford Health Plan list Jacqueline 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 Jacqueline Pena was last updated on May 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.