Individual provider Active NPI

Luz Pena, CRNP

  • Family Nurse Practitioner
  • Pottstown, PA
National Provider Identifier
1184172165
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP030236 Issued in PA
Practice address
418 Highland Road
Pottstown, PA 19464
Phone
(917) 297-8450
NPI assigned
Sep 19, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 763043 NY
Family Nurse Practitioner 363LF0000X SP030236 PA Primary

Addresses

Primary practice location

418 Highland Road
Pottstown, PA 19464

Mailing address

418 Highland Road
Pottstown, PA 19464
Phone (717) 681-4150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241016001833 PA Practitioner - Nurse Practitioner 8022540962 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Rite Med Group of PA PLLCGroup PAC ID 1254703671, 9 clinicians

Practice addresses (Care Compare)

5501 Perkiomen Ave
Reading, PA 19606-3633
Phone (610) 779-0600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
763043NYMDHome Health Registered Nurse
SP030236PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Wellness Care at Home LLC CurrentSince Jul 9, 2025 Accepting new patients
Rite Med Group of PA PLLC CurrentSince Dec 1, 2024 Accepting new patients
Infinite Medical PC CurrentSince Sep 1, 2024 Accepting new patients

Locations

250 Skillman St
Ste 202
Brooklyn, NY 11205

7650 Route 309
Coopersburg, PA 18036
Phone (610) 282-1919

498 Washington St
Easton, PA 18042
Phone (610) 253-4821

845 Germantown Pike
Plymouth Mtng, PA 19462
Phone (610) 279-7300

5501 Perkiomen Ave
Reading, PA 19606
Phone (610) 779-0600

Organizations & group practices 3

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1184172165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 HIGHLAND ROAD",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "19464",
            "telephone_number": "717-681-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 HIGHLAND ROAD",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "19464",
            "telephone_number": "917-297-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "LUZ",
        "name_prefix": "Miss",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-19",
        "last_updated": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "763043",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP030236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

Verify at the official NPI Registry.