MISS MICHELE PENA N.P.
NPI 1104133958
Nurse Practitioner - Family in Los Angeles, CA

Active since August 31, 2010PECOS EnrolledAccepts Medicare Assignment
200 UCLA MEDICAL PLZ STE 565, LOS ANGELES, CA 90095(310) 267-2555 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miss Michele Pena N.p. NPPES

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

MISS MICHELE PENA N.P. (NPI 1104133958) is an individual family provider in Los Angeles, California, licensed in California (20070) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1104133958
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMISS MICHELE PENACredential: N.P.
Location Address200 UCLA MEDICAL PLZ STE 565Los Angeles, CA 90095-8344
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631 · (310) 301-8707
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 31, 2010
Last NPPES UpdateAugust 7, 2024
NPPES CertifiedAugust 7, 2024
NPI 1104133958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 20070
200 UCLA MEDICAL PLZ STE 565, Los Angeles, CA 90095

Other Names 1

Other Name (5)Miss Michelle Pena N.p.

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 Michele Pena N.p. 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 ID2961685219
PECOS Enrollment IDI20110323000572
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
19 suppliers83 claims15,951 services$0.30 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
12 suppliers73 claims12,150 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
19 suppliers68 claims11,380 services$0.19 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
8 suppliers21 claims3,120 services$0.93 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
31 suppliers111 claims111 services$17.01 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
35 suppliers149 claims150 services$12.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Family)
200 UCLA MEDICAL PLZ STE 565
LOS ANGELES, CA 90095
Internal Medicine (Nephrology)
200 UCLA MEDICAL PLZ STE 565
LOS ANGELES, CA 90095

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 Michele Pena's NPI number?

The NPI number for Michele Pena is 1104133958. It was assigned to this individual provider in the NPPES registry on August 31, 2010. The provider is also known as Miss Michelle Pena N.P..

Where is Michele Pena located?

Michele Pena practices at 200 Ucla Medical Plz Ste 565, Los Angeles, CA 90095. The listed phone number is (310) 267-2555.

What is Michele Pena's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Michele Pena enrolled in Medicare?

Yes. Michele 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.

When was this NPI record last updated?

The NPPES record for Michele Pena was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.