STEPHANIE S PENA (APRN, FNP-C) – Family Nurse Practitioner, NPI 1073314571

STEPHANIE S PENA (APRN, FNP-C) is a healthcare provider. based in Salina, Kansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, FNP-C. They hold a License No. 84182 (KS). The NPI Number for STEPHANIE S PENA (APRN, FNP-C) is 1073314571

Main info

Female
2 Years Of Experience
Name
STEPHANIE S PENA (APRN, FNP-C)
NPI
1073314571
Phone
(785) 452-6649
Address
400 S SANTA FE AVE
Enumeration Date
20 March 2025
Last Update Date
20 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7856196078
Graduation Year
2024 (2 years ago)
PAC ID
6709392707
Group Practice PAC ID
2961884143
Professional Enrollment ID
I20250717002919
Address ID
KS665081831MA107XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

3,550 NURSE PRACTITIONER in KS

Provider Addresses for STEPHANIE S PENA (APRN, FNP-C)

  • 400 S SANTA FE AVE

    SALINA, KS 674014144

    Phone: (785) 452-6649

    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: 2025-07-17

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
I20250717002919INurse PractitionerKSTBD

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 67401)

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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: 2961884143View full group profile
NameSpecialtyState
Nurse PractitionerKS

Reviews

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Frequently asked questions

What federal number belongs to STEPHANIE S PENA (APRN, FNP-C)?
The federal identifier for STEPHANIE S PENA (APRN, FNP-C) is NPI 1073314571.
Is STEPHANIE S PENA (APRN, FNP-C)'s NPI currently valid?
The extract we use shows STEPHANIE S PENA (APRN, FNP-C) as active.
What kind of provider is STEPHANIE S PENA (APRN, FNP-C)?
The page reflects Family Nurse Practitioner for STEPHANIE S PENA (APRN, FNP-C). Clinical services aligned with this taxonomy classification.
Where does public data place STEPHANIE S PENA (APRN, FNP-C)?
The snapshot lists Salina, Kansas for STEPHANIE S PENA (APRN, FNP-C); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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