Tracy Denise Pena, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

694411 Issued in TX

Practice address

2510 E Main St
Suite 102
Alice, TX 78332-4187

Phone

(361) 664-4445

Fax

(361) 664-4449

NPI assigned

Jul 12, 2012

Last updated

Oct 9, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Tracy Denise Pena Former name

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shea Physical Therapy Specialists LLCGroup PAC ID 6204245194, 194 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Primary Care Partners PLLC

  • Internal Medicine Physician
  • Corpus Christi, TX
  • NPI 1962283960
  Medicare reassignment NPD
• Frank Eloy Martinez, M.D.

  • Family Medicine Physician
  • Corpus Christi, TX
  • NPI 1235237553
  Medicare reassignment
• Shea Physical Therapy Specialists LLC

  dba Shea Physical Therapy and Hand Therapy Services of Corpus Christi

  • Rehabilitation Clinic/Center
  • Corpus Christi, TX
  • NPI 1427634245
  Care Compare group
• Innovative Care Partners PLLC

  • Internal Medicine Physician
  • Corpus Christi, TX
  • NPI 1467990838
  NPD (past)

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381276800000",
    "number": "1760747943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 E MAIN ST",
            "address_2": "SUITE 102",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324187",
            "telephone_number": "361-664-4445",
            "fax_number": "361-664-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 E MAIN ST",
            "address_2": "SUITE 102",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324187",
            "telephone_number": "361-664-4445",
            "fax_number": "361-664-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "TRACY",
        "middle_name": "DENISE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-12",
        "last_updated": "2013-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "694411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "PENA",
            "middle_name": "DENISE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alejandra Padilla
• Elisa Paez, LCDC
• Nirupama P Patel, M.D.
• Amruta Patwardhan, P.T.
• Chelsi Yvette Pena, SLPA
• Penjamo Inc. (Our Brother's Keeper Provider Services)
• Judy G Perdue, NP
• Alyssa Perez
• Clarissa Perez, ATC, LAT
• Elena Perez

• Nurse Practitioner in Alice, TX
• Providers in Alice, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; 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.

Verify at the official NPI Registry.