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

NPI Status: Active since April 03, 2020

Contact Information

1 CHILDRENS WAY # 512-8
LITTLE ROCK, AR
ZIP 72202
Phone: (501) 364-4361
Fax: (501) 364-3404

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Pediatrics
Accepts Insurance
PECOS Enrolled

About JACQUELYN PENA

This page provides the complete NPI Profile along with additional information for Jacquelyn Pena, a pediatrician established in Little Rock, Arkansas with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1255960035 assigned on April 2020. The practitioner's primary taxonomy code is 208000000X with license number E-16688 (AR). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI: 1255960035
Provider Name: JACQUELYN MICHELLE PENA M.D
Gender: Female
Entity Type: Individual
Location Address: 1 CHILDRENS WAY # 512-8 LITTLE ROCK, AR 72202
Location Phone: (501) 364-4361
Location Fax: (501) 364-3404
Mailing Address: 1 CHILDRENS WAY # 653 LITTLE ROCK, AR 72202
Mailing Phone: (501) 364-1100
Mailing Fax: (501) 364-3404
Is Sole Proprietor?: No
Enumeration Date: 04-03-2020
Last Update Date: 08-24-2023
Code Navigator

A pediatrician like Jacquelyn Pena is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Pediatrics
Taxonomy Code: 208000000X
Type: Allopathic & Osteopathic Physicians
License No.: E-16688
License State: AR
Taxonomy Description: 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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Arkansas Blue Cross and Blue Shield

Bronze Exp Standardized - PPO
Bronze Value - PPO
Gold Standardized - PPO
Silver AH - PPO
Silver Standardized - PPO
Silver Value - PPO
Dental Gold - PPO
Dental Gold Plus Vision - PPO
Dental Pediatric - PPO
Dental Platinum - PPO
Dental Platinum Plus Vision - PPO
Dental Platinum Premium - PPO
Dental Platinum Premium Plus Vision - PPO
Dental Silver - PPO

Health Advantage

HA Bronze Exp Standardized - POS
HA Bronze Suitcase - POS
HA Gold Standardized - POS
HA Silver AH - POS
HA Silver Premier Suitcase - POS
HA Silver Standardized - POS

Octave

Octave Bronze Exp Standardized - POS
Octave Bronze Value - POS
Octave Gold Standardized - POS
Octave Silver AH - POS
Octave Silver Classic Suitcase - POS
Octave Silver Standardized - POS

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Jacquelyn Pena is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 72202 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

Average New Patient Price $79.72
Minimum New Patient Price $51.36
Maximum New Patient Price $157.74

Average New Patient Copayment $19.93
Minimum New Patient Copayment $12.84
Maximum New Patient Copayment $39.43

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

Average Established Patient Price $91.63
Minimum Established Patient Price $16.16
Maximum Established Patient Price $128.77

Average Established Patient Copayment $22.9
Minimum Established Patient Copayment $4.04
Maximum Established Patient Copayment $32.19

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	2	5	5	9	6	0	0	3	5
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	10	5	18	6	0	0	6
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 1 + 8 + 6 + 0 + 0 + 6 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 5									5

The NPI number 1255960035 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.