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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: August 16, 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 and is a graduate of Other (2025).

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
Medical School CMSOtherGraduated 2025
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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jesus Pena Nunez Student is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335642610
PECOS Enrollment IDI20250911005198
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 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.

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 15 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.