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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

LUIS MICHAEL PENA PA
NPI 1720901762
Physician Assistant - Medical in Seattle, WA

Active since August 04, 2026
4311 11TH AVE NE STE 200, SEATTLE, WA 98105(206) 616-4001 Get Directions Write a Review

NPPES record added: August 4, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Luis Michael Pena Pa NPPES

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

LUIS MICHAEL PENA PA (NPI 1720901762) is an individual medical provider in Seattle, Washington and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1720901762
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameLUIS MICHAEL PENACredential: PA
Location Address4311 11TH AVE NE STE 200Seattle, WA 98105-6367
Mailing Address4311 11th Ave Ne Ste 200Seattle, WA 98105-6367
Phone(206) 616-4001
Sole ProprietorNo
Enumeration DateAugust 4, 2026
NPPES CertifiedAugust 4, 2026
✔ NPI 1720901762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
4311 11TH AVE NE STE 200, Seattle, WA 98105
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Other Providers at the Same Location NPPES 20

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

ROGER SHERMAN PA-C
Physician Assistant (Medical)
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
King County (216) 616-4001
DARCY LEIGH MULLIGAN
Physician Assistant
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
King County (206) 616-4001
MERON H MILES
Physician Assistant (Surgical)
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
King County (206) 616-4001
ANDREW SCOTT MISCOVICH PA-S
Student in an Organized Health Care Education/Training Program
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
King County (206) 616-4001
LAURYN LOUISE CARR PA-C
Physician Assistant
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
King County (206) 616-4001
JUNGSHENG SU
Physician Assistant
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
King County (206) 616-4001
QUINSEY CHERI JORGENSON-DELACRUZ
Physician Assistant
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
King County (206) 616-4001
KATHARINA R SHOFFNER
Student in an Organized Health Care Education/Training Program
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
King County (206) 616-4001

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 Luis Pena's NPI number?

The NPI number for Luis Pena is 1720901762. It was assigned to this individual provider in the NPPES registry on August 4, 2026.

Where is Luis Pena located?

Luis Pena practices at 4311 11th Ave NE Ste 200, Seattle, WA 98105. The listed phone number is (206) 616-4001.

What is Luis Pena's specialty?

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

When was this NPI record last updated?

The NPPES record for Luis Pena was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 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.