LUZ D RODRIGUEZ PENA (FNP) – Family Nurse Practitioner, NPI 1336965482

LUZ D RODRIGUEZ PENA (FNP) is a healthcare provider. based in Union, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 26NJ15214400 (NJ). The NPI Number for LUZ D RODRIGUEZ PENA (FNP) is 1336965482

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
LUZ D RODRIGUEZ PENA (FNP)
NPI
1336965482
Phone
(973) 699-5452
Address
978 POTTER AVE
Enumeration Date
22 November 2024
Last Update Date
22 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6092272400
Graduation Year
2023 (3 years ago)
PAC ID
5799208203
Group Practice PAC ID
5092988089
Professional Enrollment ID
I20250325003393
Address ID
NJ085052405BO56XXXRDXX300
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

7,515 NURSE PRACTITIONER in NJ

Provider Addresses for LUZ D RODRIGUEZ PENA (FNP)

  • 978 POTTER AVE

    UNION, NJ 070837622

    Phone: (973) 699-5452

    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: 2025-03-25

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
I20250325003393INurse PractitionerNJTBD

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 07083)

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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: 5092988089View full group profile
NameSpecialtyState
Nurse PractitionerNJ
Nurse PractitionerNJ
Nurse PractitionerNJ
Nurse PractitionerNJ
Nurse PractitionerNJ

Reviews

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Frequently asked questions

What NPI should I save for LUZ D RODRIGUEZ PENA (FNP)?
Save NPI 1336965482 if you need a stable reference for LUZ D RODRIGUEZ PENA (FNP).
Is LUZ D RODRIGUEZ PENA (FNP) currently active in the NPI registry?
CMS-published data lists LUZ D RODRIGUEZ PENA (FNP) as an active registrant.
Does LUZ D RODRIGUEZ PENA (FNP) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for LUZ D RODRIGUEZ PENA (FNP). Clinical services aligned with this taxonomy classification.
Does LUZ D RODRIGUEZ PENA (FNP) practice in New Jersey?
You will see Union, New Jersey on file for LUZ D RODRIGUEZ PENA (FNP) alongside any extra practice locations.
Is LUZ D RODRIGUEZ PENA (FNP) a real provider?
This page reflects official NPPES data for NPI 1336965482. Always confirm identity and privileges with the practice and licensing boards.

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