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JUSTINE DE PENA CRNP
NPI 1144079211
Nurse Practitioner - Family in Allentown, PA

Active since May 13, 2024PECOS EnrolledAccepts Medicare Assignment
1250 S CEDAR CREST BLVD STE 310, ALLENTOWN, PA 18103(610) 402-8000 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Justine De Pena Crnp NPPES

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

JUSTINE DE PENA CRNP (NPI 1144079211) is an individual family provider in Allentown, Pennsylvania, licensed in Pennsylvania (SP029070) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, is affiliated with Schuylkill Medical Center - South Jackson Street, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1144079211
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJUSTINE DE PENACredential: CRNP
Location Address1250 S CEDAR CREST BLVD STE 310Allentown, PA 18103-6381
Mailing Address2100 Mack Blvd Fl 4Allentown, PA 18103-5622 · (484) 884-4500 · Fax (484) 884-0699
Phone(610) 402-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 13, 2024
NPPES CertifiedMay 10, 2024
✔ NPI 1144079211 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 PA · SP029070
1250 S CEDAR CREST BLVD STE 310, Allentown, PA 18103
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Justine De Pena Crnp 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 ID2466991377
PECOS Enrollment IDI20240822004770
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.

Hospital Affiliations CMS Care Compare 4

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

Schuylkill Medical Center - South Jackson Street

Acute Care Hospitals · Pottsville, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390030
Location420 South Jackson StreetPottsville, PA 17901 · Schuylkill County
Emergency services Birthing friendly

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Lehigh Valley Hospital - Hazleton

Acute Care Hospitals · Hazleton, PA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number390185
Location700 East Broad StreetHazleton, PA 18201 · Luzerne County
Emergency services Birthing friendly

Lehigh Valley Hospital - Pocono

Acute Care Hospitals · East Stroudsburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390201
Location206 East Brown StreetEast Stroudsburg, PA 18301 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18103 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 17

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

DUYEN U NGUYEN CRNP
Nurse Practitioner (Critical Care Medicine)
1250 S CEDAR CREST BLVD STE 310
ALLENTOWN, PA 18103
Lehigh County (610) 402-6890
LASZLO FUZESI MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1250 S CEDAR CREST BLVD STE 310
ALLENTOWN, PA 18103
Lehigh County (610) 402-6890
MARY KAMAU
Nurse Practitioner (Gerontology)
1250 S CEDAR CREST BLVD STE 310
ALLENTOWN, PA 18103
Lehigh County (610) 402-6890
IAN CHARLES CHAPMAN AGACNP
Nurse Practitioner (Acute Care)
1250 S CEDAR CREST BLVD STE 310
ALLENTOWN, PA 18103
Lehigh County (610) 402-6890
ALEXIS K ROTHERMEL CRNP
Nurse Practitioner (Critical Care Medicine)
1250 S CEDAR CREST BLVD STE 310
ALLENTOWN, PA 18103
Lehigh County (610) 402-6890
MR. SCOTT ALAN LANGE PA
Physician Assistant (Surgical)
1250 S CEDAR CREST BLVD STE 310
ALLENTOWN, PA 18103
Lehigh County (610) 402-6890
KATLIN A OSWALD
Physician Assistant (Medical)
1250 S CEDAR CREST BLVD STE 310
ALLENTOWN, PA 18103
Lehigh County (610) 402-6890
COLLEEN PAPENHAUSEN CRNP
Nurse Practitioner (Family)
1250 S CEDAR CREST BLVD STE 310
ALLENTOWN, PA 18103
Lehigh County (610) 402-6890

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 Justine De Pena's NPI number?

The NPI number for Justine De Pena is 1144079211. It was assigned to this individual provider in the NPPES registry on May 13, 2024.

Where is Justine De Pena located?

Justine De Pena practices at 1250 S Cedar Crest Blvd Ste 310, Allentown, PA 18103. The listed phone number is (610) 402-8000.

What is Justine De Pena's specialty?

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

Is Justine De Pena enrolled in Medicare?

Yes. Justine De 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 Justine De Pena accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Justine De 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.

Is Justine De Pena affiliated with any hospitals?

According to CMS data, Justine De Pena is affiliated with Schuylkill Medical Center - South Jackson Street, Lehigh Valley Hospital, Lehigh Valley Hospital - Hazleton and Lehigh Valley Hospital - Pocono.

When was this NPI record last updated?

The NPPES record for Justine De Pena was last updated on May 13, 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.