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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ERICK PENA
NPI 1437826328
Social Worker - Clinical in Berrien Springs, MI

Active since August 27, 2021PECOS Enrolled
9046 US HIGHWAY 31 STE 11, BERRIEN SPRINGS, MI 49103(269) 285-1087(269) 729-6659 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 22, 2026, Sep 18, 2026, Aug 27, 2021 (3 updates tracked since 2021).

About Erick Pena NPPES

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

ERICK PENA (NPI 1437826328) is an individual clinical provider in Berrien Springs, Michigan, licensed in Michigan (6801117425) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437826328
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameERICK PENA
Location Address9046 US HIGHWAY 31 STE 11Berrien Springs, MI 49103-1698
Mailing Address9046 Us Highway 31 Ste 11Berrien Springs, MI 49103-1698 · (269) 285-1087 · Fax (269) 729-6659
Phone(269) 285-1087
Fax(269) 729-6659
Sole ProprietorYes
Enumeration DateAugust 27, 2021
Last NPPES UpdateSeptember 22, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2026
✔ NPI 1437826328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MI · 6801117425
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
9046 US HIGHWAY 31 STE 11, Berrien Springs, MI 49103
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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 from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Erick Pena 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.

Medicare Billing Reassignment

Medicare enrollment records show Erick Pena reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Intercare Community Health Network
12 mi
Federally Qualified Health Center (FQHC)
1485 M 139
Benton Harbor, MI 49022
  • Reassigned Medicare billing, Michigan enrollment
  • 101 clinicians in this Medicare group
NPI 1902235328 (269) 926-2595

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49103 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
$0.00 typical visit price
range $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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

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

EP THERAPY, PLLC
Social Worker (Clinical)
9046 US HIGHWAY 31 STE 11
BERRIEN SPRINGS, MI 49103
Berrien County (269) 285-1087

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 Erick Pena's NPI number?

The NPI number for Erick Pena is 1437826328. It was assigned to this individual provider in the NPPES registry on August 27, 2021.

Where is Erick Pena located?

Erick Pena practices at 9046 Us Highway 31 Ste 11, Berrien Springs, MI 49103. The listed phone number is (269) 285-1087.

What is Erick Pena's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Erick Pena enrolled in Medicare?

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

Which organization bills Medicare for Erick Pena's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erick Pena reassigns Medicare benefits to Intercare Community Health Network (Benton Harbor, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Erick Pena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erick Pena accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Erick 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 Erick Pena was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days 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.