SEAN PENG (NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1265826812

SEAN PENG (NP) is a healthcare provider. based in Fresno, California. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 95004053 (CA). The NPI Number for SEAN PENG (NP) is 1265826812

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
SEAN PENG (NP)
NPI
1265826812
Phone
(559) 437-1111
Address
1060 W SIERRA AVE # 104
Enumeration Date
22 March 2015
Last Update Date
9 December 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5594371111
Graduation Year
2015 (11 years ago)
PAC ID
2062709371
Group Practice PAC ID
5395804140
Professional Enrollment ID
I20160929000789
Address ID
CA937112063FR1060XAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

16,538 NURSE PRACTITIONER in CA

Provider Addresses for SEAN PENG (NP)

  • 1060 W SIERRA AVE # 104

    FRESNO, CA 937112063

    Phone: (559) 437-1111

    Fax: (559) 437-1118

    Type: Location

  • 1060 W SIERRA AVE # 105

    FRESNO, CA 937112063

    Phone: (559) 437-1111

    Fax: (559) 437-1118

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $1,037.

Total Amount is formed as General ($1,037) + Research ($0) + Ownership ($0) = $1,037.

Last reported payment date: 2024-12-07 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($289).

Total Amount

$1,037

General + Research + Ownership

Payments

31

Total payment records

General Amount

$1,037

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-09-29

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160929000789INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3012$0
View full utilization report →

Insurance plans in this area (ZIP 93711)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395804140View full group profile
NameSpecialtyState
Nurse PractitionerCA
Marriage And Family TherapistCA
P S Y C H I A T R YCA
P S Y C H I A T R YCA
P A T H O L O G YCA
Psychiatry, Geriatric PsychiatryCA
-CA
-CA
Nurse PractitionerCA
-CA

Reviews

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Frequently asked questions

Can I cross-check SEAN PENG (NP) using NPI 1265826812?
NPI 1265826812 belongs to SEAN PENG (NP); compare other details if you need extra assurance.
Is SEAN PENG (NP) shown as active in public data?
Registry records indicate SEAN PENG (NP) maintains an active NPI.
What expertise is attributed to SEAN PENG (NP)?
SEAN PENG (NP)'s specialty line reads Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is SEAN PENG (NP) located near Fresno?
SEAN PENG (NP) currently maps to Fresno, California in this extract.
When was this NPI issued?
Enumeration for SEAN PENG (NP) is noted as March 22, 2015 where the registry provides it.

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