MR. RODNEY J PENA JR. PMHNP
NPI 1750989620
Nurse Practitioner - Psychiatric/Mental Health in Hazel Crest, IL

Active since October 13, 2020PECOS EnrolledAccepts Medicare Assignment
17800 KEDZIE AVE, HAZEL CREST, IL 60429(708) 213-3800(708) 213-0142 Get Directions Write a Review

NPPES record last updated: April 19, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 19, 2024, May 17, 2021, May 3, 2021 and 1 more (4 updates tracked since 2020).

About Mr. Rodney J Pena Jr. Pmhnp NPPES

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

MR. RODNEY J PENA JR. PMHNP (NPI 1750989620) is an individual psychiatric/mental health provider in Hazel Crest, Illinois, licensed in Illinois (209.022137) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS, is affiliated with Advocate Trinity Hospital, and maintains a secondary practice location in Orland Park.

NPPES Registry Identity

NPI1750989620
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. RODNEY J PENA JR.Credential: PMHNP
Location Address17800 KEDZIE AVEHazel Crest, IL 60429-2029
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900
Fax(708) 213-0142
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 13, 2020
Last NPPES UpdateApril 19, 20244 updates tracked since enumeration
NPPES CertifiedApril 19, 2024
✔ NPI 1750989620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IL · 209.022137
17800 KEDZIE AVE, Hazel Crest, IL 60429

Secondary Practice Location 1

Location 111231 Distinctive DrOrland Park, IL 60467-9458 · Phone (800) 461-9533 · Fax (708) 478-1302

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Rodney J Pena Jr. Pmhnp 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 ID3971919648
PECOS Enrollment IDI20210303001996
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Rodney Pena reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Specialty
4440 W 95TH ST
Oak Lawn, IL 60453
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Advocate Health And Hospitals Corporation
  • 4,870 clinicians in this Medicare group
Psychiatric/Mental Health
1938 E LINCOLN HWY STE 207B
New Lenox, IL 60451
  • Reassigned Medicare billing, Illinois 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.

Areas of Expertise CMS Part B claims 2

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
20 services15 patients
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.
20 services15 patients

Hospital Affiliations CMS Care Compare

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

Advocate Trinity Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140048
Location2320 E 93rd StChicago, IL 60617 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60429 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 20

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

Emergency Medicine
17800 KEDZIE AVE
HAZEL CREST, IL 60429
Occupational Therapist
17800 KEDZIE AVE
HAZEL CREST, IL 60429
Psychiatry & Neurology (Psychiatry)
17800 KEDZIE AVE
HAZEL CREST, IL 60429
Occupational Therapist
17800 KEDZIE AVE
HAZEL CREST, IL 60429
Family Medicine
17800 KEDZIE AVE
HAZEL CREST, IL 60429
Physician Assistant
17800 KEDZIE AVE
HAZEL CREST, IL 60429
Nurse Practitioner (Neonatal, Critical Care)
17800 KEDZIE AVE
HAZEL CREST, IL 60429
Emergency Medicine
17800 KEDZIE AVE
HAZEL CREST, IL 60429

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 Rodney Pena's NPI number?

The NPI number for Rodney Pena is 1750989620. It was assigned to this individual provider in the NPPES registry on October 13, 2020.

Where is Rodney Pena located?

Rodney Pena practices at 17800 Kedzie Ave, Hazel Crest, IL 60429. The listed phone number is (708) 213-3800.

What is Rodney Pena's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Rodney Pena enrolled in Medicare?

Yes. Rodney 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.

Which organizations bill Medicare for Rodney Pena's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rodney Pena reassigns Medicare benefits to 2 organizations: Advocate Health & Hospitals Corporation (Oak Lawn, IL) and Benchmark Psychiatric Services Ltd (New Lenox, IL). Each 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 Rodney Pena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rodney Pena accept?

Health plans from Ambetter Health and Oscar Health list Rodney 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.

Is Rodney Pena affiliated with any hospitals?

According to CMS data, Rodney Pena is affiliated with Advocate Trinity Hospital.

When was this NPI record last updated?

The NPPES record for Rodney Pena was last updated on April 19, 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.