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JACQUELYN MICHELLE PENA M.D
NPI 1255960035
Pediatrics in Little Rock, AR

Active since April 03, 2020PECOS Enrolled
1 CHILDRENS WAY # 512-8, LITTLE ROCK, AR 72202(501) 364-4361(501) 364-3404 Get Directions Write a Review

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 24, 2023, Apr 3, 2020 (2 updates tracked since 2020).

About Jacquelyn Michelle Pena M.d NPPES

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

JACQUELYN MICHELLE PENA M.D (NPI 1255960035) is an individual pediatrics provider in Little Rock, Arkansas, licensed in Arkansas (E-16688) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255960035
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJACQUELYN MICHELLE PENACredential: M.D
Location Address1 CHILDRENS WAY # 512-8Little Rock, AR 72202-3500
Mailing Address1 Childrens Way # 653Little Rock, AR 72202-3500 · (501) 364-1100 · Fax (501) 364-4082
Phone(501) 364-4361
Fax(501) 364-3404
Sole ProprietorNo
Enumeration DateApril 3, 2020
Last NPPES UpdateAugust 24, 20232 updates tracked since enumeration
NPPES CertifiedAugust 24, 2023
✔ NPI 1255960035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in AR · E-16688
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1 CHILDRENS WAY # 512-8, Little Rock, AR 72202
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, Health Advantage and more.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)

Jacquelyn Michelle Pena M.d 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72202 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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 7

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

DUSTIN EDWARD WILLIFORD M.D.
Pediatrics
1 CHILDRENS WAY # 512-8
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
MORGAN M CANTOR MD
Pediatrics
1 CHILDRENS WAY # 512-8
LITTLE ROCK, AR 72202
Pulaski County (501) 364-4024
LAURA MCLEANE MD
Pediatrics
1 CHILDRENS WAY # 512-8
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
DR. HANNAH MALING RENNO M.D.
Pediatrics
1 CHILDRENS WAY # 512-8
LITTLE ROCK, AR 72202
Pulaski County (501) 364-4361
JULIA KILLINGSWORTH M.D.
Pediatrics
1 CHILDRENS WAY # 512-8
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
DR. PARKER B DAVIDSON MD
Pediatrics
1 CHILDRENS WAY # 512-8
LITTLE ROCK, AR 72202
Pulaski County (501) 364-4361
JULIA HUGHES MD
Pediatrics
1 CHILDRENS WAY # 512-8
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100

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 Jacquelyn Pena's NPI number?

The NPI number for Jacquelyn Pena is 1255960035. It was assigned to this individual provider in the NPPES registry on April 3, 2020.

Where is Jacquelyn Pena located?

Jacquelyn Pena practices at 1 Childrens Way # 512-8, Little Rock, AR 72202. The listed phone number is (501) 364-4361.

What is Jacquelyn Pena's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jacquelyn Pena enrolled in Medicare?

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

What insurance does Jacquelyn Pena accept?

Health plans from Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, Health Advantage and Octave list Jacquelyn 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 Jacquelyn Pena was last updated on August 24, 2023. 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.