HENRY JUNIOR PENA DNP, AGNP-C
NPI 1750100442
Nurse Practitioner - Adult Health in Grand Rapids, MI

Active since October 09, 2024PECOS Enrolled
2060 DIVISION AVE S, GRAND RAPIDS, MI 49507(616) 475-8446 Get Directions Write a Review

NPPES record last updated: October 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Henry Junior Pena Dnp, Agnp-c NPPES

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

HENRY JUNIOR PENA DNP, AGNP-C (NPI 1750100442) is an individual adult health provider in Grand Rapids, Michigan, licensed in Michigan (AG07240076) and active in the NPI registry since October 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750100442
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameHENRY JUNIOR PENACredential: DNP, AGNP-C
Location Address2060 DIVISION AVE SGrand Rapids, MI 49507-3029
Mailing Address3330 Hillcroft Ave SwGrand Rapids, MI 49548-2148 · (616) 856-1992
Sole ProprietorNo
Enumeration DateOctober 9, 2024
Last NPPES UpdateOctober 18, 2024
NPPES CertifiedOctober 18, 2024
NPI 1750100442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in MI · AG07240076
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704238185 (MI)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License AG07240076 (MI)
2060 DIVISION AVE S, Grand Rapids, MI 49507

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)

Henry Junior Pena Dnp, Agnp-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49507 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 13

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

Nurse Practitioner
2060 DIVISION AVE S
GRAND RAPIDS, MI 49507
Family Medicine
2060 DIVISION AVE S
GRAND RAPIDS, MI 49507
Physician Assistant (Medical)
2060 DIVISION AVE S
GRAND RAPIDS, MI 49507
Dental Hygienist
2060 DIVISION AVE S
GRAND RAPIDS, MI 49507
Community Health Worker
2060 DIVISION AVE S
GRAND RAPIDS, MI 49507
Dental Hygienist
2060 DIVISION AVE S
GRAND RAPIDS, MI 49507
Community Health Worker
2060 DIVISION AVE S
GRAND RAPIDS, MI 49507
Dental Hygienist
2060 DIVISION AVE S
GRAND RAPIDS, MI 49507

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 Henry Pena's NPI number?

The NPI number for Henry Pena is 1750100442. It was assigned to this individual provider in the NPPES registry on October 9, 2024.

Where is Henry Pena located?

Henry Pena practices at 2060 Division Ave S, Grand Rapids, MI 49507. The listed phone number is (616) 475-8446.

What is Henry Pena's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Henry Pena enrolled in Medicare?

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

What insurance does Henry Pena accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Henry 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 Henry Pena was last updated on October 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.