MISS LUPITA PENA-BALTAZAR QMHA
NPI 1104050947
Social Worker - Clinical in Woodburn, OR
About Miss Lupita Pena-baltazar Qmha NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS LUPITA PENA-BALTAZAR QMHA (NPI 1104050947) is an individual clinical provider in Woodburn, Oregon, licensed in Oregon (L10733) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Other Identifiers 1
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
Miss Lupita Pena-baltazar Qmha 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97071 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WOODBURN, OR 97071
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 Lupita Pena-baltazar's NPI number?
The NPI number for Lupita Pena-baltazar is 1104050947. It was assigned to this individual provider in the NPPES registry on May 7, 2009. The provider is also known as Lupita Pena Lcsw.
Where is Lupita Pena-baltazar located?
Lupita Pena-baltazar practices at 1310 Meridian Dr, Woodburn, OR 97071. The listed phone number is (503) 953-0310.
What is Lupita Pena-baltazar's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Lupita Pena-baltazar enrolled in Medicare?
Yes. Lupita Pena-baltazar 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 Lupita Pena-baltazar accept?
Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Lupita Pena-baltazar 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 Lupita Pena-baltazar was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Miss Lupita Pena-Baltazar, QMHA · NPI 1104050947
Clinical provider in Woodburn, Oregon. Individual provider, active in the CMS NPPES registry since May 7, 2009.
## Identity
- **NPI:** 1104050947 (Entity type: Individual)
- **Enumerated:** May 7, 2009
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** L10733 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 1310 MERIDIAN DR, Woodburn, OR 97071-9668
- **Phone:** (503) 953-0310 · **Fax:** (503) 386-0439
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** April 17, 2025
- **Other identifiers:** Other L10733
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Source: [NPI Profile](https://npiprofile.com/npi/1104050947) · Data from the CMS NPPES public registry.