JAVIER PENA NP
NPI 1568664738
Nurse Practitioner - Acute Care in Edinburg, TX

Active since June 01, 2007PECOS Enrolled
5519 DOCTORS DR, EDINBURG, TX 78539(956) 362-2421(956) 362-2429 Get Directions Write a Review

NPPES record last updated: January 20, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Javier Pena Np NPPES

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

JAVIER PENA NP (NPI 1568664738) is an individual acute care provider in Edinburg, Texas, licensed in Texas (658750) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1568664738
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameJAVIER PENACredential: NP
Location Address5519 DOCTORS DREdinburg, TX 78539-5563
Mailing AddressPo Box 2975Mcallen, TX 78502-2975 · (956) 362-2171
Fax(956) 362-2429
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 1, 2007
Last NPPES UpdateJanuary 20, 2017
NPI 1568664738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in TX · 658750
5519 DOCTORS DR, Edinburg, TX 78539

Accepted 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)

Javier Pena Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062597255
PECOS Enrollment IDI20080312000358
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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
280 services26 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
128 services29 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
114 services114 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
86 services73 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
64 services54 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
60 services44 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78539 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 10

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

Physician Assistant
5519 DOCTORS DR
EDINBURG, TX 78539
Nurse Practitioner (Family)
5519 DOCTORS DR
EDINBURG, TX 78539
Neurological Surgery
5519 DOCTORS DR
EDINBURG, TX 78539
Neurological Surgery
5519 DOCTORS DR
EDINBURG, TX 78539
Neurological Surgery
5519 DOCTORS DR
EDINBURG, TX 78539
Specialist
5519 DOCTORS DR
EDINBURG, TX 78539
Neurological Surgery
5519 DOCTORS DR
EDINBURG, TX 78539
Neurological Surgery
5519 DOCTORS DR
EDINBURG, TX 78539

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 Javier Pena's NPI number?

The NPI number for Javier Pena is 1568664738. It was assigned to this individual provider in the NPPES registry on June 1, 2007.

Where is Javier Pena located?

Javier Pena practices at 5519 Doctors Dr, Edinburg, TX 78539. The listed phone number is (956) 362-2421.

What is Javier Pena's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Javier Pena enrolled in Medicare?

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

What insurance does Javier Pena accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Javier 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 Javier Pena was last updated on January 20, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.