JOHN DUSTIN PENA FNP
NPI 1730787482
Nurse Practitioner - Family in Salmon, ID

Q: What is John Pena's NPI number?

The NPI number for John Pena is 1730787482. It was assigned to this individual provider in the NPPES registry on October 14, 2020.

Q: What is John Pena's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for John Pena was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since October 14, 2020PECOS EnrolledAccepts Medicare Assignment

403 RIVERFRONT DR, SALMON, ID 83467(208) 742-1110(208) 742-1120 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 8, 2024, Oct 14, 2020 (2 updates tracked since 2020).

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About John Dustin Pena Fnp NPPES

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

JOHN DUSTIN PENA FNP (NPI 1730787482) is an individual family provider in Salmon, Idaho, licensed in Idaho (65855) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS, is affiliated with Mountain View Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1730787482

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameJOHN DUSTIN PENACredential: FNP

Location Address403 RIVERFRONT DRSalmon, ID 83467-5162

Mailing Address403 Riverfront DrSalmon, ID 83467-5162 · (208) 742-1110

Phone(208) 742-1110

Fax(208) 742-1120

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateOctober 14, 2020

Last NPPES UpdateOctober 8, 20242 updates tracked since enumeration

NPPES CertifiedOctober 8, 2024

✔ NPI 1730787482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in ID · 65855

403 RIVERFRONT DR, Salmon, ID 83467

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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

John Dustin Pena Fnp 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 ID6103238670

PECOS Enrollment IDI20201208001184

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 12

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

163 services85 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

61 services50 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

50 services44 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

47 services39 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

47 services42 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.

44 services39 patients

Blood test, thyroid stimulating hormone (tsh) 84443

A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.

41 services39 patients

Vitamin d-3 level 82306

A Vitamin D-3 level test measures the amount of Vitamin D-3, a crucial nutrient, in your body. This test helps identify if your levels are too low or too high. Low levels may lead to bone weakness, while high levels could harm your kidneys. It's a simple blood test.

39 services37 patients

Cyanocobalamin (vitamin b-12) level 82607

A Cyanocobalamin (Vitamin B-12) level test is a blood test that checks the amount of Vitamin B-12 in your body. This vitamin is vital for nerve function and the creation of red blood cells. Low or high levels could indicate a potential health issue.

39 services37 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

39 services23 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

34 services34 patients

Psa (prostate specific antigen) measurement, total 84153

PSA measurement is a simple blood test that checks for a specific protein produced by your body. High levels could indicate a health issue that needs further investigation. It's often used to monitor general wellness and is part of routine health screening.

23 services23 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mountain View Hospital

Acute Care Hospitals · Idaho Falls, ID

1/5 CMS rating

OwnershipPhysician

CMS Certification Number130065

Location2325 Coronado StreetIdaho Falls, ID 83404 · Bonneville County

Emergency services Birthing friendly

Steele Memorial Medical Center

Critical Access Hospitals · Salmon, ID

OwnershipGovernment - Local

CMS Certification Number131305

LocationP O Box 700Salmon, ID 83467 · Lemhi County

Emergency services

St. Patrick Hospital

Acute Care Hospitals · Missoula, MT

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number270014

Location500 W BroadwayMissoula, MT 59806 · Missoula County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83467 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers17 claims19 services$49.05 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

3 suppliers21 claims1,800 services$0.10 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

3 suppliers17 claims17 services$24.43 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

JENNIFER ANN HILL RDN, LD

Dietitian, Registered

403 RIVERFRONT DR
SALMON, ID 83467

Lemhi County (740) 816-1555

SALMON RIVER CLINIC

Clinic/Center (Primary Care)

403 RIVERFRONT DR
SALMON, ID 83467

Lemhi County (208) 742-1110

MYLLISSA M. WYATT NP

Nurse Practitioner (Family)

403 RIVERFRONT DR
SALMON, ID 83467

Lemhi County (208) 742-1110

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 John Pena's NPI number?

The NPI number for John Pena is 1730787482. It was assigned to this individual provider in the NPPES registry on October 14, 2020.

Where is John Pena located?

John Pena practices at 403 Riverfront Dr, Salmon, ID 83467. The listed phone number is (208) 742-1110.

What is John Pena's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is John Pena enrolled in Medicare?

Yes. John 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.

Is John Pena affiliated with any hospitals?

According to CMS data, John Pena is affiliated with Mountain View Hospital, Steele Memorial Medical Center and St. Patrick Hospital.

When was this NPI record last updated?

The NPPES record for John Pena was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.