HEIDI SUE PENA APRN
NPI 1962196170
Nurse Practitioner in Rockford, IL

Active since June 08, 2023PECOS EnrolledAccepts Medicare Assignment
5666 E STATE ST, ROCKFORD, IL 61108(815) 226-2000 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Heidi Sue Pena Aprn NPPES

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

HEIDI SUE PENA APRN (NPI 1962196170) is an individual nurse practitioner in Rockford, Illinois, licensed in Illinois (209027609) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Saint Anthony Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1962196170
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameHEIDI SUE PENACredential: APRN
Location Address5666 E STATE STRockford, IL 61108-2472
Mailing Address5666 E State StRockford, IL 61108-2472 · (815) 226-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 8, 2023
NPPES CertifiedJune 8, 2023
NPI 1962196170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IL · 209027609
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

5666 E STATE ST, Rockford, IL 61108

Other Names 1

Former Name (1)Heidi Sue Gipe

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

Heidi Sue Pena Aprn 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 ID7315306982
PECOS Enrollment IDI20230630000046
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.

Hospital Affiliations CMS Care Compare

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

Saint Anthony Medical Center

Acute Care Hospitals · Rockford, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140233
Location5666 East State StreetRockford, IL 61108 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61108 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Pathology (Anatomic Pathology & Clinical Pathology)
5666 E STATE ST
ROCKFORD, IL 61108
Radiology (Diagnostic Radiology)
5666 E STATE ST
ROCKFORD, IL 61108
Internal Medicine
5666 E STATE ST
ROCKFORD, IL 61108
Neurological Surgery
5666 E STATE ST
ROCKFORD, IL 61108
Internal Medicine (Medical Oncology)
5666 E STATE ST
ROCKFORD, IL 61108
Pathology (Chemical Pathology)
5666 E STATE ST
ROCKFORD, IL 61108
Dietitian, Registered
5666 E STATE ST
ROCKFORD, IL 61108
Nurse Practitioner (Acute Care)
5666 E STATE ST
ROCKFORD, IL 61108

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962196170, enumerated as an "individual" on June 08, 2023.

The provider is located at 5666 E STATE ST ROCKFORD, IL 61108 and the phone number is (815) 226-2000.

Nurse Practitioner with taxonomy code 363L00000X.

Heidi Pena is affiliated with: SAINT ANTHONY MEDICAL CENTER.