Individual provider Active NPI

Brittany J Pena, APRN

  • Family Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1639627326
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
243686 Issued in AZ
Practice address
10261 N 92ND St
Scottsdale, AZ 85258-4502
Phone
(480) 443-4437
Fax
(480) 895-9494
NPI assigned
Sep 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041396690 IL
Family Nurse Practitioner 363LF0000X 209-015054 IL
Family Nurse Practitioner 363LF0000X 243686 AZ Primary

Addresses

Primary practice location

10261 N 92ND St
Scottsdale, AZ 85258-4502

Mailing address

919 12TH PL
Prescott, AZ 86305-1433
Phone (928) 778-4300

Other practice location 1

1415 E State St
Suite 800
Rockford, IL 61104
Phone (779) 696-9120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20230523003564 AZ Practitioner - Nurse Practitioner 8628357720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona OB GYN Affiliates PCGroup PAC ID 7911094040, 122 clinicians

Practice addresses (Care Compare)

10261 N 92ND St
Scottsdale, AZ 85258-4502
Phone (480) 443-4437

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041396690ILMDRegistered Nurse
243686AZMDFamily Nurse Practitioner
209-015054ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona OB GYN Affiliates PC CurrentSince Nov 30, 2023 Accepting new patients
Robert S. Gerson MD PC Past Accepting new patients
Arizona Obgynaffiliates SHP,PC PastSince Nov 5, 2023 Accepting new patients

Locations

1950 W Frye Rd
Ste B
Chandler, AZ 85224

1757 E Melrose St
Gilbert, AZ 85297

1661 E Camelback Rd
Ste 160
Phoenix, AZ 85016
Phone (602) 241-1671

9930 W Indian School Rd
Phoenix, AZ 85037
Phone (623) 846-7558

4545 E Chandler Blvd
Ste 208
Phoenix, AZ 85048
Phone (480) 961-2330

919 12th Pl
Ste 1
Prescott, AZ 86305
Phone (928) 778-4300

919 12th Pl
Prescott, AZ 86305
Phone (602) 851-3030

7600 E Florentine Rd
Prescott Valley, AZ 86314
Phone (520) 419-1624

10261 N 92nd St
Scottsdale, AZ 85258
Phone (480) 443-4437

1840 E Baseline Rd
Ste A3
Tempe, AZ 85283
Phone (480) 618-1342

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": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1639627326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 12TH PL",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051433",
            "telephone_number": "928-778-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10261 N 92ND ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584502",
            "telephone_number": "480-443-4437",
            "fax_number": "480-895-9494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1415 E State St",
            "address_2": "Suite 800",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "61104",
            "country_code": "US",
            "telephone_number": "779-696-9120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENA",
        "first_name": "BRITTANY",
        "middle_name": "J",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-12",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041396690",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209-015054",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "243686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.