DR. KRISTIN SUZANNE PENA MD
NPI 1861554552
Family Medicine in Ventura, CA

Active since December 15, 2006PECOS EnrolledAccepts Medicare Assignment
138 W MAIN ST, SUITE E, VENTURA, CA 93001(805) 667-2850(805) 652-0708 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 30, 2024, Jul 18, 2024 (2 updates tracked since 2024).

About Dr. Kristin Suzanne Pena Md NPPES

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

DR. KRISTIN SUZANNE PENA MD (NPI 1861554552) is an individual family medicine provider in Ventura, California, licensed in California (A75967) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Human Medicine (1997).

NPPES Registry Identity

NPI1861554552
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KRISTIN SUZANNE PENACredential: MD
Location Address138 W MAIN ST, SUITE EVentura, CA 93001-2584
Mailing Address5855 Olivas Park DrVentura, CA 93003-7672 · (805) 667-2801 · Fax (805) 667-2865
Fax(805) 652-0708
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 1997
Enumeration DateDecember 15, 2006
Last NPPES UpdateDecember 30, 20242 updates tracked since enumeration
NPPES CertifiedJuly 18, 2024
✔ NPI 1861554552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A75967
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
138 W MAIN ST, Ventura, CA 93001

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

Dr. Kristin Suzanne Pena Md 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 ID3577505916
PECOS Enrollment IDI20260919000311
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

5

Medicare enrollment records show Kristin Pena reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
138 W MAIN ST, SUITE E
Ventura, CA 93001
  • Reassigned Medicare billing, California enrollment
  • 267 clinicians in this Medicare group
Family Medicine
2772 JOHNSON DR STE 200
Ventura, CA 93003
  • Reassigned Medicare billing, California enrollment
  • 61 clinicians in this Medicare group
Health Maintenance Organization
2103 E GONZALES RD
Oxnard, CA 93036
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
915 N MILPAS ST
Santa Barbara, CA 93103
  • Reassigned Medicare billing, California enrollment
  • 42 clinicians in this Medicare group
Clinic/Center
17360 BROOKHURST ST
Fountain Valley, CA 92708
  • Reassigned Medicare billing, California enrollment
  • 948 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 5

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
127 services103 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.
127 services88 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
23 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.
21 services21 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93001 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
$95.28 typical visit price
range $62.32 – $185.36
Typical copayment $23.82 (range $15.58 – $46.34)
Most-billed visit code 99203
Established Patient
$108.74 typical visit price
range $20.68 – $151.85
Typical copayment $27.18 (range $5.17 – $37.96)
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

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
1 supplier14 claims14 services$20.96 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 7

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

Nurse Practitioner (Family)
138 W MAIN ST, SUITE E, F, G
VENTURA, CA 93001
Clinic/Center (Multi-Specialty)
138 W MAIN ST, SUITE E
VENTURA, CA 93001
Family Medicine
138 W MAIN ST, SUITE E
VENTURA, CA 93001
Physician Assistant (Medical)
138 W MAIN ST, UNIT E
VENTURA, CA 93001
Family Medicine
138 W MAIN ST, SUITE E
VENTURA, CA 93001
Nurse Practitioner
138 W MAIN ST, SUITE E
VENTURA, CA 93001
Physician Assistant
138 W MAIN ST, #E
VENTURA, CA 93001

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 Kristin Pena's NPI number?

The NPI number for Kristin Pena is 1861554552. It was assigned to this individual provider in the NPPES registry on December 15, 2006.

Where is Kristin Pena located?

Kristin Pena practices at 138 W Main St Suite E, Ventura, CA 93001. The listed phone number is (805) 667-2850.

What is Kristin Pena's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kristin Pena enrolled in Medicare?

Yes. Kristin 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 Kristin Pena's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristin Pena reassigns Medicare benefits to 5 organizations: Community Memorial Health System (Ventura, CA), Primary Medical Group Of Ventura County Inc (Ventura, CA), Southern California Permanente Medical Group (Oxnard, CA), Santa Barbara Neighborhood Clinics (Santa Barbara, CA) and Memorialcare Medical Foundation (Fountain Valley, CA). 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 Kristin Pena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kristin Pena was last updated on December 30, 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.