MS. JOHANNA PENA RIC
NPI 1265217699
Counselor - Professional in Fredericksburg, VA

Active since August 24, 2023PECOS EnrolledAccepts Medicare Assignment
19248 TIDEWATER TRL, FREDERICKSBURG, VA 22408(954) 881-2169 Get Directions Write a Review

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Johanna Pena Ric NPPES

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

MS. JOHANNA PENA RIC (NPI 1265217699) is an individual professional provider in Fredericksburg, Virginia and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1265217699
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. JOHANNA PENACredential: RIC
Location Address19248 TIDEWATER TRLFredericksburg, VA 22408-9357
Mailing Address19248 Tidewater TrlFredericksburg, VA 22408-9357
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 24, 2023
NPPES CertifiedMay 29, 2023
NPI 1265217699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
19248 TIDEWATER TRL, Fredericksburg, VA 22408

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

Ms. Johanna Pena Ric 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.

PECOS PAC ID8022531425
PECOS Enrollment IDI20250326002559
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.

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 Johanna Pena's NPI number?

The NPI number for Johanna Pena is 1265217699. It was assigned to this individual provider in the NPPES registry on August 24, 2023.

Where is Johanna Pena located?

Johanna Pena practices at 19248 Tidewater Trl, Fredericksburg, VA 22408. The listed phone number is (954) 881-2169.

What is Johanna Pena's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Johanna Pena enrolled in Medicare?

Yes. Johanna Pena 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 Johanna 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.