DANIELLE DE LA PENA NP
NPI 1104464049
Nurse Practitioner - Family in Olympia, WA

Q: What is Danielle De La Pena's NPI number?

The NPI number for Danielle De La Pena is 1104464049. It was assigned to this individual provider in the NPPES registry on December 10, 2019.

Q: What is Danielle De La Pena's specialty?

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

Active since December 10, 2019PECOS EnrolledAccepts Medicare Assignment

3775 MARTIN WAY E STE A, OLYMPIA, WA 98506(360) 236-7166(360) 529-8070 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 9, 2025, Aug 29, 2023, Dec 10, 2019 (3 updates tracked since 2019).

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About Danielle De La Pena Np NPPES

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

DANIELLE DE LA PENA NP (NPI 1104464049) is an individual family provider in Olympia, Washington, licensed in Washington (AP61462577) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS, is affiliated with Providence St Peter Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104464049

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDANIELLE DE LA PENACredential: NP

Location Address3775 MARTIN WAY E STE AOlympia, WA 98506-5007

Mailing Address2690 Ne Kresky AveChehalis, WA 98532-2412 · (360) 330-9595 · Fax (360) 330-9560

Phone(360) 236-7166

Fax(360) 529-8070

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateDecember 10, 2019

Last NPPES UpdateSeptember 9, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 9, 2025

✔ NPI 1104464049 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 WA · AP61462577

3775 MARTIN WAY E STE A, Olympia, WA 98506

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Secondary Practice Locations 2

Location 12690 NE Kresky AveChehalis, WA 98532-2412 · Phone (360) 330-9595 · Fax (360) 330-9530

Location 2273 Sussex Ave ETenino, WA 98589-9359 · Phone (360) 264-5665 · Fax (360) 264-5666

Other Identifiers 1

Medicaid2256954WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Danielle De La Pena Np 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 ID1557716578

PECOS Enrollment IDI20231011003253

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

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.

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

20 services12 patients

Hospital Affiliations CMS Care Compare

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

Providence St Peter Hospital

Acute Care Hospitals · Olympia, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500024

Location413 Lilly Road NEOlympia, WA 98506 · Thurston County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98506 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

Other Providers at the Same Location NPPES 8

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

DR. KEITH MAGHUYOP DOYLE DMD

Dentist