HENRY JUNIOR PENA DNP, AGNP-C
NPI 1750100442
Nurse Practitioner - Adult Health in Grand Rapids, MI
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
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignment
Medicare enrollment records show Henry Pena reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Rapids, MI 49507
- Reassigned Medicare billing, Michigan enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organization bills Medicare for Henry Pena's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Henry Pena reassigns Medicare benefits to Exalta Health (Grand Rapids, MI). 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 Henry Pena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Henry Pena accept?
Health plans from Blue Care Network of Michigan, 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 2 years 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.
# Henry Junior Pena, DNP, AGNP-C · NPI 1750100442
Adult Health physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since October 9, 2024.
## Identity
- **NPI:** 1750100442 (Entity type: Individual)
- **Enumerated:** October 9, 2024
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** AG07240076 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 2060 DIVISION AVE S, Grand Rapids, MI 49507-3029
- **Phone:** (616) 475-8446
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Exalta Health (NPI 1588840854, Grand Rapids, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 18, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1750100442) · Data from the CMS NPPES public registry.