Individual provider Active NPI

Lauren Ashley Pena, FNP-C

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1306529581
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1129643 Issued in TX
Practice address
4553 N Loop 1604 W Ste 1119
San Antonio, TX 78249-1364
Phone
(210) 972-8058
NPI assigned
Aug 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1129643 TX Primary

Addresses

Primary practice location

4553 N Loop 1604 W Ste 1119
San Antonio, TX 78249-1364

Mailing address

4553 N Loop 1604 W Ste 1119
San Antonio, TX 78249-1364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20231024003936 TX Practitioner - Nurse Practitioner 2163878372 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Transitional Care Physicians PLLCGroup PAC ID 3779996590, 43 clinicians

Practice addresses (Care Compare)

4553 N Loop 1604
Suite 1119
San Antonio, TX 78249-1364
Phone (210) 741-8782

Hospital & facility affiliations

  • Mission Home Health Home health agency, San Antonio, TX, CCN 743121

Merit-based Incentive Payment System (MIPS)

Final score
3 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Texas - Amarillo, PLLC CurrentSince Nov 15, 2025 Accepting new patients
Transitional Care Physicians PLLC CurrentSince Sep 4, 2023 Accepting new patients
TCP Health Sa PLLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

1440 River Rd
Fair Oaks Ranch, TX 78006
Phone (830) 616-5095

22211 W Interstate 10
Ste 1206
San Antonio, TX 78257
Phone (210) 888-0368

4553 N Loop 1604 W
Ste 1119
San Antonio, TX 78249
Phone (210) 741-8782

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 1

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": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1306529581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4553 N LOOP 1604 W STE 1119",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782491364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4553 N LOOP 1604 W STE 1119",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782491364",
            "telephone_number": "210-972-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "LAUREN",
        "middle_name": "ASHLEY",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1129643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.