Jason Pena

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704454839 Issued in MI

Practice address

4587 Lauren LN
Saint Joseph, MI 49085-8651

Phone

(630) 310-7871

NPI assigned

Nov 4, 2026

Last updated

Nov 4, 2026By the provider in NPPES

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1793750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793750400000",
    "number": "1912806019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4587 LAUREN LN",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490858651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4587 LAUREN LN",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490858651",
            "telephone_number": "630-310-7871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "JASON",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-11-04",
        "last_updated": "2026-11-04",
        "certification_date": "2026-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704454839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelly Rene Pavese, OTR/L, MHS, CHT
• Keri Pawielski
• Peace of Mind Counseling Center
• Pelvic Health Elevated PLLC
• Pelvic Wellness and Collective
• Regino Perla II, DNP-A CRNA
• Jeffrey Arnold Perrin
• Loren Perry
• Personal Hearing Centers
• Thomas Pervolarakis, D.D.S.

• Registered Nurse in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.