1. Home
  2. Directory
  3. Florida
  4. Orange Park
  5. Physician Assistant
  6. NPI Profile

ALEXANDER PENA PA-C, ATC
NPI 1477937936
Physician Assistant - Medical in Orange Park, FL

Active since July 15, 2015PECOS EnrolledAccepts Medicare Assignment
1677 WELLS RD STE C, ORANGE PARK, FL 32073(904) 215-8400 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 15, 2021, Oct 8, 2020 (2 updates tracked since 2020).

About Alexander Pena Pa-c, Atc NPPES

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

ALEXANDER PENA PA-C, ATC (NPI 1477937936) is an individual medical provider in Orange Park, Florida, licensed in Florida (PA9113666) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in St Johns, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1477937936
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameALEXANDER PENACredential: PA-C, ATC
Location Address1677 WELLS RD STE COrange Park, FL 32073-2383
Mailing Address4580 Race Track Rd Ste 102St Johns, FL 32259-2457 · (904) 679-3537 · Fax (904) 481-8651
Phone(904) 215-8400
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 15, 2015
Last NPPES UpdateFebruary 13, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2026
✔ NPI 1477937936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · PA9113666
1677 WELLS RD STE C, Orange Park, FL 32073
Open in Google Maps ↗

Secondary Practice Location 1

Location 14580 Race Track Rd Ste 102St Johns, FL 32259-2457 · Phone (904) 679-3537 · Fax (904) 481-8651

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

Alexander Pena Pa-c, Atc 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 ID4284129420
PECOS Enrollment IDI20251224001340
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 Alexander Pena's NPI number?

The NPI number for Alexander Pena is 1477937936. It was assigned to this individual provider in the NPPES registry on July 15, 2015.

Where is Alexander Pena located?

Alexander Pena practices at 1677 Wells Rd Ste C, Orange Park, FL 32073. The listed phone number is (904) 215-8400.

What is Alexander Pena's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Alexander Pena enrolled in Medicare?

Yes. Alexander 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 Alexander Pena was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.