MR. RODNEY J JR. PENA (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1750989620

MR. RODNEY J JR. PENA (PMHNP) is a healthcare provider. based in Hazel crest, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 209.022137 (IL). The NPI Number for MR. RODNEY J JR. PENA (PMHNP) is 1750989620

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
MR. RODNEY J JR. PENA (PMHNP)
NPI
1750989620
Phone
(708) 213-3800
Address
17800 KEDZIE AVE
Enumeration Date
13 October 2020
Last Update Date
19 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8474591160
Graduation Year
2020 (6 years ago)
PAC ID
3971919648
Group Practice PAC ID
7810800935
Professional Enrollment ID
I20210303001996
Address ID
IL600896748BU214XXRDXX300

Contacts

FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Secure Messaging
rpena396093@direct.myadvocateaurora.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

11,632 NURSE PRACTITIONER in IL

Provider Addresses for MR. RODNEY J JR. PENA (PMHNP)

  • 17800 KEDZIE AVE

    HAZEL CREST, IL 604292029

    Phone: (708) 213-3800

    Fax: (708) 213-0142

    Type: Location

  • 1362 TROTTERS LN

    BOURBONNAIS, IL 609144519

    Phone: (815) 214-0256

    Type: Mailing

  • 11231 Distinctive Dr

    Orland Park, IL 604679458

    Phone: (800) 461-9533

    Fax: (708) 478-1302

    Type: Location

  • 11231 DISTINCTIVE DR

    ORLAND PARK, IL 604679458

    Phone: (800) 461-9533

    Fax: (708) 478-1302

    Type: Mailing

  • 29373 NETWORK PL

    CHICAGO, IL 606731293

    Phone: (847) 390-5900

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 58 Open Payments records for all available years, with a total value of $1,127.

Total Amount is formed as General ($1,127) + Research ($0) + Ownership ($0) = $1,127.

Last reported payment date: 2024-04-25 • Largest payer in this snapshot: ABBVIE INC. ($264).

Total Amount

$1,127

General + Research + Ownership

Payments

58

Total payment records

General Amount

$1,127

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-25

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: 2021-03-03

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
I20210303001996INurse PractitionerILTBD

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
90833Psychotherapy with evaluation and management visit, 30 minutes7216$0
99214Established patient office or other outpatient visit, 30-39 minutes7115$0
View full utilization report →

Insurance plans in this area (ZIP 60429)

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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: 7810800935View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineIL
Nephrology, Internal MedicineIL
A N E S T H E S I O L O G YIL
Internal MedicineIL
Clinical Social WorkerIL
-MN
-IL
-IL
Hospitalist, Internal MedicineIL
Physician AssistantNC

Reviews

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Frequently asked questions

Can I use this page to confirm MR. RODNEY J JR. PENA (PMHNP)'s NPI?
Yes. MR. RODNEY J JR. PENA (PMHNP) is listed with NPI 1750989620 in the public NPI dataset.
Can I rely on MR. RODNEY J JR. PENA (PMHNP) being an active provider?
As of the registry snapshot, MR. RODNEY J JR. PENA (PMHNP) is marked active.
What is MR. RODNEY J JR. PENA (PMHNP) best known for clinically?
Directory data describes MR. RODNEY J JR. PENA (PMHNP) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for MR. RODNEY J JR. PENA (PMHNP)?
MR. RODNEY J JR. PENA (PMHNP)'s geographic hint is Hazel Crest, Illinois in our summary view.
Is the information about MR. RODNEY J JR. PENA (PMHNP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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