Marco Antonio Pena, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1072107 Issued in TX

Practice address

607 W Ciro Casares St
Elsa, TX 78543-7854

Phone

(956) 650-9246

NPI assigned

Apr 5, 2022

Last updated

Apr 5, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Merit-based Incentive Payment System (MIPS)

Final score

86.59 of 100Reported as group

Quality

72.49

Promoting interoperability

94

Improvement activities

40

Cost

68.19

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University of Texas Rio Grande Valley

  • Physiological Laboratory
  • Harlingen, TX
  • NPI 1689330649
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1023759164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2333",
            "city": "ELSA",
            "state": "TX",
            "postal_code": "785432333",
            "telephone_number": "956-650-9246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 W CIRO CASARES ST",
            "city": "ELSA",
            "state": "TX",
            "postal_code": "785437854",
            "telephone_number": "956-650-9246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "MARCO",
        "middle_name": "ANTONIO",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1072107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN-CNP",
            "identifier": "1072107",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Molly Renae Myers, COTA
• Nyssa's Provider Services LLC (Nyssa's Home Health Therapy Services)
• Omar J Pena Lopez MD PA
• Our Communityprimary Home Care Services
• Omar Jose Pena Lopez, M.D.
• Samantha Jo Perales, PHARMD
• Performance Therapeutics - Elsa PLLC
• Performance Therapeutics-Elsa, PLLC
• Pharr Family Medical Center LLC
• Joshua Dennett Prado

• Family Nurse Practitioner in Elsa, TX
• Providers in Elsa, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.