CAROLINE IVETTE PENA (NURSE PRACTITIONER) – Family Nurse Practitioner, NPI 1649013814

CAROLINE IVETTE PENA (NURSE PRACTITIONER) is a healthcare provider. based in Castle rock, Colorado. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. APN.0999879-NP (CO). The NPI Number for CAROLINE IVETTE PENA (NURSE PRACTITIONER) is 1649013814

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
CAROLINE IVETTE PENA (NURSE PRACTITIONER)
NPI
1649013814
Phone
(720) 523-1237
Address
834 S PERRY ST STE F
Enumeration Date
17 June 2024
Last Update Date
4 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3033439500
Graduation Year
2023 (3 years ago)
PAC ID
7416495460
Group Practice PAC ID
3173655032
Professional Enrollment ID
I20240821002737
Address ID
CO800143980AU14991AVEX401
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

5,201 NURSE PRACTITIONER in CO

Provider Addresses for CAROLINE IVETTE PENA (NURSE PRACTITIONER)

  • 834 S PERRY ST STE F

    CASTLE ROCK, CO 801041941

    Phone: (720) 523-1237

    Fax: (720) 307-5529

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-08-21

PECOS data refreshed: 2026-05-27

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
I20240821002737INurse PractitionerCOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80104)

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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: 3173655032View full group profile
NameSpecialtyState
Nurse PractitionerCO
Marriage And Family TherapistCO
Nurse PractitionerCO
Nurse PractitionerCO
-CO

Reviews

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Frequently asked questions

Can I use this page to confirm CAROLINE IVETTE PENA (NURSE PRACTITIONER)'s NPI?
Yes. CAROLINE IVETTE PENA (NURSE PRACTITIONER) is listed with NPI 1649013814 in the public NPI dataset.
Can I rely on CAROLINE IVETTE PENA (NURSE PRACTITIONER) being an active provider?
As of the registry snapshot, CAROLINE IVETTE PENA (NURSE PRACTITIONER) is marked active.
What is CAROLINE IVETTE PENA (NURSE PRACTITIONER)'s specialty?
The listing groups CAROLINE IVETTE PENA (NURSE PRACTITIONER) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is CAROLINE IVETTE PENA (NURSE PRACTITIONER) based?
CAROLINE IVETTE PENA (NURSE PRACTITIONER) is tied to Castle Rock, Colorado in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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