Individual provider Active NPI

Javier Pena, NP

  • Acute Care Nurse Practitioner
  • Edinburg, TX
National Provider Identifier
1568664738
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
658750 Issued in TX
Practice address
5519 Doctors Dr
Edinburg, TX 78539-5563
Phone
(956) 362-2421
Fax
(956) 362-2429
NPI assigned
Jun 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 658750 TX Primary

Addresses

Primary practice location

5519 Doctors Dr
Edinburg, TX 78539-5563

Mailing address

PO Box 2975
McAllen, TX 78502-2975
Phone (956) 362-2171

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
I20080312000358 TX Practitioner - Nurse Practitioner 2062597255 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
South Texas Urgent Care Center PLLCGroup PAC ID 3577941624, 6 clinicians
Texas Premier Health LLCGroup PAC ID 3375079411, 3 clinicians

Practice addresses (Care Compare)

1901 Pease St
Harlingen, TX 78550-8217
Phone (956) 205-1244

608 N Ed Carey Dr
Suite B
Harlingen, TX 78550-7912
Phone (956) 201-9277

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory W. Smith MD PA CurrentSince May 1, 2019 Accepting new patients
Texas Premier Health LLC Acute Care CurrentSince Mar 4, 2026 Accepting new patients
Urgent House Calls, PLLC Current Accepting new patients
South Texas Urgent Care Center PLLC CurrentSince Apr 1, 2022 Accepting new patients
Doctors Hospital at Renaissance, LTD Past Accepting new patients
Elite Performance, Inc. PastSince May 1, 2019 Accepting new patients

Locations

608 N Ed Carey Dr
#B
Harlingen, TX 78550
Phone (956) 201-9277

1901 Pease St
Harlingen, TX 78550
Phone (956) 205-1244

602 Kamali Dr
Harlingen, TX 78550
Phone (855) 288-5115

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1568664738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2975",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785022975",
            "telephone_number": "956-362-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5519 DOCTORS DR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785395563",
            "telephone_number": "956-362-2421",
            "fax_number": "956-362-2429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "JAVIER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "658750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.