Active NPI
Tamisha Pena, FNP
- Family Nurse Practitioner
- Eureka, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN002757
- Practice address
- 250 S Main St
Eureka, NV 89316-1513 - Phone
- (775) 237-5642
- NPI assigned
- Jul 15, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 18792 | TN | |
| Family Nurse Practitioner | 363LF0000X | APRN002757 | NV | Primary |
Addresses
Primary practice location
250 S Main St
Eureka, NV 89316-1513
Mailing address
250 S Main St
Eureka, NV 89316-1513
Phone (775) 237-5642
Other practice location 1
9408 Apison Pike Ste 174
Ooltewah, TN 37363-5977
Phone (423) 396-9893
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 Ave H
Ely, NV 89301-2615
Phone (775) 289-3612
Hospital & facility affiliations
- Genesis Home Health Services
- William Bee Ririe Hospital
- Northeastern Nevada Regional Hospital
- Banner Churchill Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 37.4 of 100
- Quality
- 27.48
- Improvement activities
- 0
- Cost
- 71.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN002757 | NV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William Bee Ririe Retail Pharmacy | Current | Accepting new patients | |
| William Bee Ririe Hospital | Family | Current | Accepting new patients |
| William Bee Ririe Hospital | Current | Accepting new patients | |
| William Bee Ririe Hospital | Past | Accepting new patients |
Locations
1500 Avenue H
Ely, NV 89301
Phone (775) 289-3001
Organizations & group practices 4
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.
-
- Critical Access Hospital
- Ely, NV
- NPI 1487648804
-
- Family Nurse Practitioner
- Crescent Valley, NV
- NPI 1699284901
-
- Community/Retail Pharmacy
- Ely, NV
- NPI 1831729268
-
- Family Medicine Physician
- Ely, NV
- NPI 1437145422
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Fallon, NV
- NPI 1265811251
-
- Home Health Agency
- Elko, NV
- NPI 1285729251
-
dba Northeastern Nevada Regional Hospital
- Rural Acute Care Hospital
- Elko, NV
- NPI 1770674350
-
- Critical Access Hospital
- Ely, NV
- NPI 1487648804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699228800000",
"number": "1235546888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 S MAIN ST",
"city": "EUREKA",
"state": "NV",
"postal_code": "893161513",
"telephone_number": "775-237-5642",
"fax_number": "775-237-5652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 S MAIN ST",
"city": "EUREKA",
"state": "NV",
"postal_code": "893161513",
"telephone_number": "775-237-5642"
}
],
"practiceLocations": [
{
"address_1": "9408 Apison Pike Ste 174",
"address_purpose": "LOCATION",
"city": "Ooltewah",
"state": "TN",
"postal_code": "373635977",
"country_code": "US",
"telephone_number": "423-396-9893",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PENA",
"first_name": "TAMISHA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-15",
"last_updated": "2023-11-06",
"certification_date": "2023-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "18792",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "APRN002757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eureka, NV
- Steven Bryant Hooper, DDS
- Amanda Leigh Nault
- Nevada Health Centers Inc (Eureka Medical Clinic)
- Nevada Health Centers, Inc (Eureka Medical Clinic)
- Daniel T Norris, DDS
- Rehab & Industrial Services, LLC (Rehab Services of Nevada - Eureka)
- Brittany Streeter, OTR/L
- Michael B Wells, D.O.
- William Bee Ririe Hospital
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.