JEREMY JAMES PENE NP
NPI 1184960403
Nurse Practitioner - Family in Prescott Valley, AZ
About Jeremy James Pene Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEREMY JAMES PENE NP (NPI 1184960403) is an individual family provider in Prescott Valley, Arizona, licensed in Arizona (322104) and active in the NPI registry since December 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
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
Jeremy James Pene Np 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.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 86314 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PRESCOTT VALLEY, AZ 86314
PRESCOTT VALLEY, AZ 86314
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 Jeremy Pene's NPI number?
The NPI number for Jeremy Pene is 1184960403. It was assigned to this individual provider in the NPPES registry on December 13, 2012.
Where is Jeremy Pene located?
Jeremy Pene practices at 6546 E 2nd St Ste C, Prescott Valley, AZ 86314. The listed phone number is (928) 327-9528.
What is Jeremy Pene's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jeremy Pene enrolled in Medicare?
Yes. Jeremy Pene 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.
When was this NPI record last updated?
The NPPES record for Jeremy Pene was last updated on April 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jeremy James Pene, NP · NPI 1184960403
Family physician in Prescott Valley, Arizona. Individual provider, active in the CMS NPPES registry since December 13, 2012.
## Identity
- **NPI:** 1184960403 (Entity type: Individual)
- **Enumerated:** December 13, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 322104 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 6546 E 2ND ST STE C, Prescott Valley, AZ 86314-3540
- **Phone:** (928) 327-9528 · **Fax:** (928) 327-7428
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** April 11, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1184960403) · Data from the CMS NPPES public registry.