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

Q: 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.

Q: 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.

Q: 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.

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: August 30, 2026.

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

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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

Phone(708) 213-3800

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

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Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

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.

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.

GINGER YVONNE CLINTON MD

Emergency Medicine