MELINDA ANNETTE PENA APNP
NPI 1972182962
Nurse Practitioner - Psychiatric/Mental Health in Rockford, IL

Q: What is Melinda Pena's NPI number?

The NPI number for Melinda Pena is 1972182962. It was assigned to this individual provider in the NPPES registry on April 6, 2021.

Q: What is Melinda Pena's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Melinda Pena was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 06, 2021PECOS Enrolled

1401 E STATE ST, ROCKFORD, IL 61104(779) 696-4123 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Melinda Annette Pena Apnp NPPES

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

MELINDA ANNETTE PENA APNP (NPI 1972182962) is an individual psychiatric/mental health provider in Rockford, Illinois, licensed in Illinois (209.035981) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972182962

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMELINDA ANNETTE PENACredential: APNP

Location Address1401 E STATE STRockford, IL 61104-2315

Mailing Address1401 E State St, Po Box 16Rockford, IL 61104-2315 · (779) 696-4123

Phone(779) 696-4123

Sole ProprietorNo

Enumeration DateApril 6, 2021

Last NPPES UpdateJuly 2, 2026

NPPES CertifiedJuly 2, 2026

✔ NPI 1972182962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in IL · 209.035981

1401 E STATE ST, Rockford, IL 61104

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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)

Melinda Annette Pena Apnp 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 61104 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.

MRS. MANISHA AJIT PATEL DPT

Physical Therapist