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EMILY PENA PA-C
NPI 1164901864
Physician Assistant - Surgical in Oak Lawn, IL

Active since August 13, 2018PECOS Enrolled
4440 W 95TH ST, OAK LAWN, IL 60453(708) 684-5580 Get Directions Write a Review

NPPES record last updated: May 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 13, 2022, Apr 20, 2022, Oct 30, 2020 and 1 more (4 updates tracked since 2018).

About Emily Pena Pa-c NPPES

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

EMILY PENA PA-C (NPI 1164901864) is an individual surgical provider in Oak Lawn, Illinois, licensed in Illinois (085007408) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164901864
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameEMILY PENACredential: PA-C
Location Address4440 W 95TH STOak Lawn, IL 60453-2600
Mailing Address8509 Ardennes DrFishers, IN 46038-4402 · (317) 366-3662
Phone(708) 684-5580
Sole ProprietorNo
Enumeration DateAugust 13, 2018
Last NPPES UpdateMay 13, 20224 updates tracked since enumeration
NPPES CertifiedMay 13, 2022
✔ NPI 1164901864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses✔ Licensed in IL · 085007408✔ Licensed in MD · C0006904
4440 W 95TH ST, Oak Lawn, IL 60453
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, 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 (PECOS)

Emily Pena Pa-c 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.

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.

DR. MARK ADRIAN FAASSE MD
Urology
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-4557
DR. MANDY LUMA ENSHIWAT M.D.
Internal Medicine
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-8000
DR. KIM MARIE MIILLER MA, PSYD
Psychologist (Clinical)
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-7482
JENNIFER MARSIGLIO
Occupational Therapist (Physical Rehabilitation)
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-5425
TRACI LYNN TAGUE MA, CCC-SLP
Speech-Language Pathologist
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-1989
ELIZABETH A FOLLIARD OTR/L
Occupational Therapist
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-5369
MICHAEL CIRONE M.D.
Emergency Medicine
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-5375
ANNA MANILLA
Speech-Language Pathologist
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (248) 701-7523

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 Emily Pena's NPI number?

The NPI number for Emily Pena is 1164901864. It was assigned to this individual provider in the NPPES registry on August 13, 2018.

Where is Emily Pena located?

Emily Pena practices at 4440 W 95th St, Oak Lawn, IL 60453. The listed phone number is (708) 684-5580.

What is Emily Pena's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Emily Pena enrolled in Medicare?

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

What insurance does Emily Pena accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Emily 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 Emily Pena was last updated on May 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.