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

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: October 25, 2026.

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 and is a graduate of University Of Hawaii John A. Burns School Of Medicine (2024).

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
Medical School CMSUniversity Of Hawaii John A. Burns School Of MedicineGraduated 2024
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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nathalie Pena is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840756862
PECOS Enrollment IDI20260730001235
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 Reassignment

Medicare enrollment records show Nathalie Pena reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Marin Community Clinic
54 mi
Federally Qualified Health Center (FQHC)
6100 REDWOOD BLVD
Novato, CA 94945
  • Reassigned Medicare billing, California enrollment
  • 17 clinicians in this Medicare group
NPI 1003900101 (415) 448-1500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 17

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))
6 TARMAN DR
CLOVERDALE, CA 95425
Sonoma County (707) 894-4229
LEA DARYA QUEEN PSY.D
Psychologist (Clinical)
6 TARMAN DR
CLOVERDALE, CA 95425
Sonoma County (707) 894-4229
ALEXANDER VALLEY HEALTHCARE
Clinic/Center (Federally Qualified Health Center (FQHC))
6 TARMAN DR
CLOVERDALE, CA 95425
Sonoma County (707) 894-4229
ELIZABETH ADRIENNE WILLIS RN, MS, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
6 TARMAN DR
CLOVERDALE, CA 95425
Sonoma County (707) 894-4229
NIRANJANA PARTHASARATHI MD
Internal Medicine
6 TARMAN DR
CLOVERDALE, CA 95425
Sonoma County (707) 894-4229
VALERIE RIVAS NP
Nurse Practitioner (Family)
6 TARMAN DR
CLOVERDALE, CA 95425
Sonoma County (999) 999-9999
MS. MARYA E GROSSE FNP
Nurse Practitioner (Family)
6 TARMAN DR
CLOVERDALE, CA 95425
Sonoma County (707) 894-4229
KENDALL GALVEZ FNP
Clinic/Center
6 TARMAN DR
CLOVERDALE, CA 95425
Sonoma County (707) 894-4229

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 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.

Where is Nathalie Pena located?

Nathalie Pena practices at 6 Tarman Dr, Cloverdale, CA 95425. The listed phone number is (707) 894-4229.

What is Nathalie Pena's specialty?

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

Is Nathalie Pena enrolled in Medicare?

Yes. Nathalie Pena is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nathalie Pena's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathalie Pena reassigns Medicare benefits to Marin Community Clinic (Novato, CA). The 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 Nathalie 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 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.