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JESUS PENA NUNEZ STUDENT
NPI 1609666437
Student in an Organized Health Care Education/Training Program in Mesa, AZ

Active since May 06, 2025PECOS Enrolled
2421 W KEATING AVE, MESA, AZ 85202(480) 265-5611 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jesus Pena Nunez Student NPPES

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

JESUS PENA NUNEZ STUDENT (NPI 1609666437) is an individual student in an organized health care education/training program in Mesa, Arizona and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609666437
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJESUS PENA NUNEZCredential: STUDENT
Location Address2421 W KEATING AVEMesa, AZ 85202-7204
Mailing Address2421 W Keating AveMesa, AZ 85202-7204 · (480) 265-5611
Phone(480) 265-5611
Sole ProprietorNo
Enumeration DateMay 6, 2025
NPPES CertifiedMay 6, 2025
✔ NPI 1609666437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2421 W KEATING AVE, Mesa, AZ 85202
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jesus Pena Nunez Student 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 Jesus Pena Nunez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

K & j Vision Care PLLC
4.8 mi
Optometrist
857 N DOBSON RD
Mesa, AZ 85201
  • Reassigned Medicare billing, Arizona enrollment
  • 2 clinicians in this Medicare group
NPI 1417798349 (831) 578-5926

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

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 Jesus Pena Nunez's NPI number?

The NPI number for Jesus Pena Nunez is 1609666437. It was assigned to this individual provider in the NPPES registry on May 6, 2025.

Where is Jesus Pena Nunez located?

Jesus Pena Nunez practices at 2421 W Keating Ave, Mesa, AZ 85202. The listed phone number is (480) 265-5611.

What is Jesus Pena Nunez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jesus Pena Nunez enrolled in Medicare?

Yes. Jesus Pena Nunez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jesus Pena Nunez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jesus Pena Nunez reassigns Medicare benefits to K & j Vision Care PLLC (Mesa, AZ). 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 Jesus Pena Nunez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jesus Pena Nunez accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Jesus Pena Nunez 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 Jesus Pena Nunez was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.