MR. RODNEY J JR. PENA (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1750989620
Psychiatric/Mental Health Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| ABBVIE INC. | $264 |
| Axsome Therapeutics, Inc. | $241 |
| Alkermes, Inc. | $81 |
| IDORSIA PHARMACEUTICALS US INC | $73 |
| Corium, LLC | $58 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210303001996 | I | Nurse Practitioner | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 72 | 16 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 71 | 15 | $0 |
Insurance plans in this area (ZIP 60429)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Internal Medicine | IL | |
| Nephrology, Internal Medicine | IL | |
| A N E S T H E S I O L O G Y | IL | |
| Internal Medicine | IL | |
| Clinical Social Worker | IL | |
| - | MN | |
| - | IL | |
| - | IL | |
| Hospitalist, Internal Medicine | IL | |
| Physician Assistant | NC |
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