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HOLLY P. DE LA PENA PA-C
NPI 1952435570
Physician Assistant - Surgical in London, KY

Active since March 15, 2007PECOS Enrolled
200 CITY HILL DR, LONDON, KY 40741(606) 878-6633 Get Directions Write a Review

NPPES record last updated: November 16, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Holly P. De La Pena Pa-c NPPES

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

HOLLY P. DE LA PENA PA-C (NPI 1952435570) is an individual surgical provider in London, Kentucky, licensed in Kentucky (1028899) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952435570
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameHOLLY P. DE LA PENACredential: PA-C
Location Address200 CITY HILL DRLondon, KY 40741-3038
Mailing Address939 Sasser School RdLondon, KY 40744-8486
Phone(606) 878-6633
Sole ProprietorNo
Enumeration DateMarch 15, 2007
Last NPPES UpdateNovember 16, 2011
✔ NPI 1952435570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in KY · 1028899
200 CITY HILL DR, London, KY 40741
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holly P. De La Pena Pa-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.

Other Providers at the Same Location NPPES 4

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

CLIFFORD LOWDENBACK DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
200 CITY HILL DR
LONDON, KY 40741
Laurel County (606) 877-1900
ALAN DARYL GRAHAM MD
Surgery
200 CITY HILL DR
LONDON, KY 40741
Laurel County (606) 878-6633
JENKINS & MORROW PLLC
Dentist (Oral and Maxillofacial Surgery)
200 CITY HILL DR, SUITE 102
LONDON, KY 40741
Laurel County (859) 264-1898
LONDON-WHITE AND MAGGARD, PSC
Dentist (Orthodontics and Dentofacial Orthopedics)
200 CITY HILL DR, SUITE 101
LONDON, KY 40741
Laurel County (606) 877-1900

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 Holly De La Pena's NPI number?

The NPI number for Holly De La Pena is 1952435570. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Where is Holly De La Pena located?

Holly De La Pena practices at 200 City Hill Dr, London, KY 40741. The listed phone number is (606) 878-6633.

What is Holly De La Pena's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Holly De La Pena enrolled in Medicare?

Yes. Holly De La Pena is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Holly De La Pena was last updated on November 16, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.