Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ROSA LINA PENA NP
NPI 1104481456
Nurse Practitioner - Family in Edinburg, TX

Active since May 02, 2019PECOS Enrolled
5501 S MCCOLL RD, EDINBURG, TX 78539(956) 393-1556 Get Directions Write a Review

NPPES record last updated: October 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rosa Lina Pena Np NPPES

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

ROSA LINA PENA NP (NPI 1104481456) is an individual family provider in Edinburg, Texas, licensed in Texas (AP138694) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104481456
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameROSA LINA PENACredential: NP
Location Address5501 S MCCOLL RDEdinburg, TX 78539-9152
Mailing Address4745 S Jackson RdEdinburg, TX 78539-8309 · (956) 393-1556
Sole ProprietorYes
Enumeration DateMay 2, 2019
Last NPPES UpdateOctober 21, 2026
NPPES CertifiedOctober 21, 2026
✔ NPI 1104481456 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 TX · AP138694
5501 S MCCOLL RD, Edinburg, TX 78539

Other Identifiers 1

OtherAP-138694TX · Texas License

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rosa Lina Pena Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Rosa Pena reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medical Services
5501 S MCCOLL RD
Edinburg, TX 78539
  • Reassigned Medicare billing, Texas enrollment
  • 46 clinicians in this Medicare group
Family Medicine
8901 N 2ND ST
Mcallen, TX 78504
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Ramcorp Medical PA
  • 15 clinicians in this Medicare group
Urgent Care
2438 MONARCH DR STE A-375
Laredo, TX 78045
  • Reassigned Medicare billing, Texas enrollment
  • 18 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.
65 services64 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.
33 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78539 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
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 3

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

Tracheostomy, inner cannula A4623
DME-Orthotic Devices · category DF000N
1 supplier12 claims525 services$5.39 avg. paid by Medicare
Tracheostomy care kit for established tracheostomy A4629
DME-Orthotic Devices · category DF000N
1 supplier17 claims524 services$4.48 avg. paid by Medicare
Tracheostomy tube collar/holder, each A7526
DME-Orthotic Devices · category DF000N
1 supplier17 claims524 services$3.27 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 20

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

Nurse Practitioner (Acute Care)
5501 S MCCOLL RD
EDINBURG, TX 78539
Nurse Practitioner (Family)
5501 S MCCOLL RD
EDINBURG, TX 78539
Internal Medicine
5501 S MCCOLL RD
EDINBURG, TX 78539
Specialist/Technologist, Other (Surgical Technologist)
5501 S MCCOLL RD
EDINBURG, TX 78539
Internal Medicine
5501 S MCCOLL RD
EDINBURG, TX 78539
Nurse Anesthetist, Certified Registered
5501 S MCCOLL RD
EDINBURG, TX 78539
Internal Medicine
5501 S MCCOLL RD
EDINBURG, TX 78539
Physician Assistant
5501 S MCCOLL RD
EDINBURG, TX 78539

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 Rosa Pena's NPI number?

The NPI number for Rosa Pena is 1104481456. It was assigned to this individual provider in the NPPES registry on May 2, 2019.

Where is Rosa Pena located?

Rosa Pena practices at 5501 S Mccoll Rd, Edinburg, TX 78539. The listed phone number is (956) 393-1556.

What is Rosa Pena's specialty?

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

Is Rosa Pena enrolled in Medicare?

Yes. Rosa Pena is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Rosa Pena's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rosa Pena reassigns Medicare benefits to 3 organizations: Renaissance Emergency Physicians,pa (Edinburg, TX), Ramcorp Medical P.A. (Mcallen, TX) and Doc-Aid Scribe Services, Inc (Laredo, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rosa Pena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rosa Pena accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Rosa 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 Rosa Pena was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.