KRISTEN PENA (D.O.) – Emergency Medicine Physician, NPI 1164806097

KRISTEN PENA (D.O.) is a healthcare provider. based in Lyndhurst, New Jersey. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. 25MB10391000 (NJ). The NPI Number for KRISTEN PENA (D.O.) is 1164806097

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
KRISTEN PENA (D.O.)
NPI
1164806097
Phone
(973) 876-5088
Address
240 CHUBB AVE
Enumeration Date
9 July 2015
Last Update Date
24 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9549395000
Graduation Year
2015 (11 years ago)
PAC ID
2163772872
Group Practice PAC ID
8820083785
Professional Enrollment ID
I20180830000097
Address ID
NJ076753123WE250XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,703 EMERGENCY MEDICINE in NJ

Provider Addresses for KRISTEN PENA (D.O.)

  • 240 CHUBB AVE

    APT. 248

    LYNDHURST, NJ 070713524

    Phone: (973) 876-5088

    Type: Mailing

  • 703 MAIN ST

    PATERSON, NJ 075032621

    Phone: (973) 754-2000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2024-01-17 • Largest payer in this snapshot: CSL Behring ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CSL Behring$15
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: 2018-08-30

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
I20180830000097IEmergency MedicineNJTBD

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
99285Emergency department visit with high level of medical decision making185178$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only6966$0
99284Emergency department visit with moderate level of medical decision making6969$0
99283Emergency department visit with low level of medical decision making2020$0
View full utilization report →

Insurance plans in this area (ZIP 07071)

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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: 8820083785View full group profile
NameSpecialtyState
Emergency MedicineNJ
Emergency MedicineNY
Physician AssistantNJ
-NJ
Emergency MedicineNY
Emergency MedicineNJ
Emergency MedicineNY
Emergency MedicineNJ
Emergency MedicineNJ
Physician AssistantNJ

Reviews

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Frequently asked questions

Can I use this page to confirm KRISTEN PENA (D.O.)'s NPI?
Yes. KRISTEN PENA (D.O.) is listed with NPI 1164806097 in the public NPI dataset.
Is KRISTEN PENA (D.O.) listed as active for patients and plans?
The listing shows KRISTEN PENA (D.O.) as active in the NPI system.
What is KRISTEN PENA (D.O.)'s primary classification?
Emergency Medicine Physician is the headline specialty for KRISTEN PENA (D.O.) here. Clinical services aligned with this taxonomy classification.
Where is KRISTEN PENA (D.O.) based?
KRISTEN PENA (D.O.) is tied to Lyndhurst, New Jersey in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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