NATHALIE PENA
NPI 1962231886
Nurse Practitioner - Family in Cloverdale, CA

Q: What is Nathalie Pena's NPI number?

The NPI number for Nathalie Pena is 1962231886. It was assigned to this individual provider in the NPPES registry on July 30, 2024.

Q: What is Nathalie Pena's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Nathalie Pena was last updated on July 30, 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 July 30, 2024PECOS Enrolled

6 TARMAN DR, CLOVERDALE, CA 95425(707) 894-4229 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Nathalie Pena NPPES

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

NATHALIE PENA (NPI 1962231886) is an individual family provider in Cloverdale, California, licensed in California (95031301) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962231886

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameNATHALIE PENA

Location Address6 TARMAN DRCloverdale, CA 95425-3932

Mailing Address35581 Scarborough DrNewark, CA 94560-2018 · (510) 209-5076

Phone(707) 894-4229

Sole ProprietorYes

Enumeration DateJuly 30, 2024

NPPES CertifiedJuly 30, 2024

✔ NPI 1962231886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95031301

6 TARMAN DR, Cloverdale, CA 95425

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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)

Nathalie Pena 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95425 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

$96.16 typical visit price

range $63.04 – $187.01

Typical copayment $24.04 (range $15.76 – $46.75)

Most-billed visit code 99203

Established Patient

$109.88 typical visit price

range $21.02 – $153.40

Typical copayment $27.47 (range $5.25 – $38.35)

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 16

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

COPPERTOWER FAMILY MEDICAL CENTER

Clinic/Center (Federally Qualified Health Center (FQHC))