NPIMap

Individual provider Active NPI

Jose Rene Pena, DO

  • Psychiatry Physician
  • Fort Collins, CO
National Provider Identifier
1407346927
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2026-01397 Issued in NC
Practice address
4856 Innovation Dr
Fort Collins, CO 80525-5539
Phone
(970) 494-4200
Fax
(844) 270-1824
NPI assigned
May 10, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0071855 CO
Psychiatry Physician 2084P0800X 2026-01397 NC Primary
Addiction Medicine (Family Medicine) Physician 207QA0401X S3041 TX
Family Medicine Physician 207Q00000X BP10063987 TX

Addresses

Primary practice location

4856 Innovation Dr
Fort Collins, CO 80525-5539

Mailing address

4856 Innovation Dr
Fort Collins, CO 80525-5539
Phone (970) 494-4200

Other practice location 1

100 S 4th St Ofc 552
Saint Louis, MO 63102-1800
Phone (919) 391-7202

Other practice location 2

2741 Campus Walk Ave Ste 200
Durham, NC 27705-8878
Phone (919) 391-7202

Other practice location 3

1025 Pennock Pl Ste 114
Fort Collins, CO 80524-3250
Phone (970) 495-8800

Other practice location 4

5501 Fortunes Ridge Dr Ste P
Durham, NC 27713-6102
Phone (919) 391-7202

Other practice location 5

1420 Robinson Rd Ste 220
Corinth, TX 76210-2848
Phone (940) 843-3012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO, NC3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200122000314 TX Practitioner - Family Practice 9133554116 Reassigns benefits to 1 organization
I20240903004285 CO Practitioner - Family PracticePractitioner - Addiction Medicine 9133554116 Reassigns benefits to 2 organizations
I20260604003362 NC Practitioner - Psychiatry 9133554116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Addiction Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Health Care IncGroup PAC ID 7618880709, 56 clinicians
Summitstone Health PartnersGroup PAC ID 4284527144, 116 clinicians

Practice addresses (Care Compare)

1025 Pennock PL
Suite 114
Fort Collins, CO 80524-3250
Phone (970) 495-8800

2260 W Trilby Rd
Fort Collins, CO 80526-9650
Phone (970) 494-4200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BP10063987TXMDFamily Medicine Physician
S3041TXMDAddiction Medicine (Family Medicine) Physician
2026-01397NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summitstone Health Partners Current Accepting new patients
Poudre Valley Health Care Inc CurrentSince May 27, 2025 Accepting new patients
Poudre Valley Health Care Inc. Current Accepting new patients
Summitstone Health Partners CurrentSince Aug 12, 2024 Accepting new patients
Bosque County Hospital District Family Medicine CurrentSince Sep 1, 2023 Accepting new patients
Animo Sano Psychiatry PLLC Psychiatry CurrentSince Jun 1, 2026 Accepting new patients
Summitstone Health Partners CurrentSince Aug 12, 2024 Accepting new patients
Bosque County Hospital District Current Accepting new patients
Poudre Valley Health Care Inc CurrentSince May 27, 2025 Accepting new patients
Longview Behavioral Health Past Accepting new patients
Summitstone Health Partners Past Accepting new patients
Heart of Texas Community Health Center, Inc. Family Medicine PastSince Jul 1, 2021 Accepting new patients
Longview Behavioral Health Past Accepting new patients
Longview Behavioral Health Past Accepting new patients
Summitstone Health Partners Past Accepting new patients
Longview Behavioral Health Past Accepting new patients

Locations

1025 Pennock Pl
Ste 114
Fort Collins, CO 80524
Phone (970) 495-8800

4856 Innovation Dr
Ste B
Fort Collins, CO 80525
Phone (970) 397-7815

4856 Innovation Dr
Fort Collins, CO 80525

1025 Pennock Pl
Fort Collins, CO 80524
Phone (970) 495-8800

4102 S Timberline Rd
Fort Collins, CO 80525
Phone (970) 494-5728

4601 Corbett Dr
Fort Collins, CO 80528
Phone (970) 207-4800

100 S 4th St
Ofc 552
Saint Louis, MO 63102

2741 Campus Walk Ave
Bldg 400
Durham, NC 27705
Phone (919) 909-1230

5501 Fortunes Ridge Dr
Ste P
Durham, NC 27713
Phone (919) 319-7202

101 S Avenue T
Clifton, TX 76634
Phone (254) 675-8322

201 S Avenue T
Clifton, TX 76634
Phone (254) 675-4101

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1407346927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4856 INNOVATION DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255539",
            "telephone_number": "970-494-4200",
            "fax_number": "844-270-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4856 INNOVATION DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255539",
            "telephone_number": "970-494-4200",
            "fax_number": "844-270-1824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 S 4th St Ofc 552",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631021800",
            "country_code": "US",
            "telephone_number": "919-391-7202",
            "fax_number": "919-391-7203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2741 Campus Walk Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277058878",
            "country_code": "US",
            "telephone_number": "919-391-7202",
            "fax_number": "919-391-7203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1025 Pennock Pl Ste 114",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805243250",
            "country_code": "US",
            "telephone_number": "970-495-8800",
            "fax_number": "970-495-8820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5501 Fortunes Ridge Dr Ste P",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277136102",
            "country_code": "US",
            "telephone_number": "919-391-7202",
            "fax_number": "919-391-7203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1420 Robinson Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Corinth",
            "state": "TX",
            "postal_code": "762102848",
            "country_code": "US",
            "telephone_number": "940-843-3012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENA",
        "first_name": "JOSE",
        "middle_name": "RENE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-10",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0071855",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2026-01397",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "TX",
            "license": "S3041",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10063987",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.