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MISS LUZ PENA CRNP
NPI 1184172165
Nurse Practitioner - Family in Pottstown, PA

Active since September 19, 2016PECOS Enrolled
418 HIGHLAND ROAD, POTTSTOWN, PA 19464(917) 297-8450 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 23, 2024, Mar 19, 2019, Sep 19, 2016 (3 updates tracked since 2016).

About Miss Luz Pena Crnp NPPES

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

MISS LUZ PENA CRNP (NPI 1184172165) is an individual family provider in Pottstown, Pennsylvania, licensed in Pennsylvania (SP030236) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1184172165
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMISS LUZ PENACredential: CRNP
Location Address418 HIGHLAND ROADPottstown, PA 19464
Mailing Address418 Highland RoadPottstown, PA 19464 · (717) 681-4150
Phone(917) 297-8450
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 19, 2016
Last NPPES UpdateSeptember 23, 20243 updates tracked since enumeration
✔ NPI 1184172165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP030236
Also ListedRegistered Nurse · Home HealthTaxonomy 163WH0200X · License 763043 (NY)
418 HIGHLAND ROAD, Pottstown, PA 19464
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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 (PECOS)

Miss Luz Pena Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022540962
PECOS Enrollment IDI20241016001833
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 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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
125 services29 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
33 services25 patients

Hospital Affiliations CMS Care Compare

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19464 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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 Luz Pena's NPI number?

The NPI number for Luz Pena is 1184172165. It was assigned to this individual provider in the NPPES registry on September 19, 2016.

Where is Luz Pena located?

Luz Pena practices at 418 Highland Road, Pottstown, PA 19464. The listed phone number is (917) 297-8450.

What is Luz Pena's specialty?

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

Is Luz Pena enrolled in Medicare?

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

What insurance does Luz Pena accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Luz 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 Luz Pena affiliated with any hospitals?

According to CMS data, Luz Pena is affiliated with Reading Hospital.

When was this NPI record last updated?

The NPPES record for Luz Pena was last updated on September 23, 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.