MIA VAN PEENEN FNP BC
NPI 1154282291
Nurse Practitioner in La Jolla, CA

Q: What is Mia Van Peenen's NPI number?

The NPI number for Mia Van Peenen is 1154282291. It was assigned to this individual provider in the NPPES registry on November 19, 2025.

Q: What is Mia Van Peenen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Mia Van Peenen was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since November 19, 2025PECOS Enrolled

10710 N TORREY PINES RD, LA JOLLA, CA 92037(858) 554-7993 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 23, 2025, Nov 19, 2025 (2 updates tracked since 2025).

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About Mia Van Peenen Fnp Bc NPPES

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

MIA VAN PEENEN FNP BC (NPI 1154282291) is an individual nurse practitioner in La Jolla, California, licensed in California (95036798) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1154282291

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMIA VAN PEENENCredential: FNP BC

Location Address10710 N TORREY PINES RDLa Jolla, CA 92037-1035

Mailing Address10790 Rancho Bernardo RdSan Diego, CA 92127-5705 · (858) 554-7993

Phone(858) 554-7993

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateNovember 19, 2025

Last NPPES UpdateDecember 23, 20252 updates tracked since enumeration

NPPES CertifiedDecember 23, 2025

✔ NPI 1154282291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · 95036798

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

10710 N TORREY PINES RD, La Jolla, CA 92037

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mia Van Peenen Fnp Bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113413584

PECOS Enrollment IDI20260106001632

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 92037 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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 20

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

MS. JUMAI FATHIYA DAWUDA NP

Nurse Practitioner (Family)