Active NPI
Brittany J Pena, APRN
- Family Nurse Practitioner
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 243686
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 041396690 | IL | MD | Registered Nurse |
| 243686 | AZ | MD | Family Nurse Practitioner |
| 209-015054 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona OB GYN Affiliates PC | Current | Accepting new patients | |
| Robert S. Gerson MD PC | Past | Accepting new patients | |
| Arizona Obgynaffiliates SHP,PC | Past | 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.
-
- Specialist
- Phoenix, AZ
- NPI 1750589404
-
- Specialist
- Scottsdale, AZ
- NPI 1336563857
-
- Anesthesiology Physician
- Mesa, AZ
- NPI 1982893053
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Prescott, AZ
- NPI 1902897820
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.