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Holly Beth Pena, ARNP, FNP

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Specializes in: Gastroenterology (Digestive System)

Professional interests include: gastrointestinal problems (digestive disorders)

1919 Lincoln Way #415
Coeur D'Alene, ID 83814

(208) 625-4595

Holly Beth Pena, ARNP, FNP is a nurse in Coeur D'Alene, ID specializing in gastroenterology (digestive system). Holly Beth Pena, ARNP, FNP is affiliated with Kootenai Health, Kootenai Clinic - Gastroenterology and NORTH IDAHO DAY SURGERY LLC.

Office Locations

Address:

1919 Lincoln Way #415
Coeur D'Alene, ID 83814

Some issues Holly Beth Pena, ARNP, FNP can help you with:

Gastrointestinal Problems (Digestive Disorders)

The gastrointestinal system, or GI tract, is the name given to a collection of organs that work together to digest food. These organs fit together in a long tube, running from the mouth to the anus, and include the esophagus, stomach, and intestines, among others. With so many parts working together, complicated by today's busy lifestyles and diets, digestive problems are common. As many as 1 in 3 Americans have a digestive or GI disorder. There are a huge variety of digestive problems, but the most common are IBS, constipation, GERD, hemorrhoids, and ulcers.

IBS, or irritable bowel syndrome, happens when the muscles surrounding the colon contract too easily or frequently. The result is abdominal pain, cramps, diarrhea or constipation, gas and bloating. IBS attacks can often be brought on by specific triggers, so a key part of treatment is learning which foods trigger IBS attacks and avoiding them. Treatment also includes exercise, avoiding stress, and medications if needed.

Constipation, or large, hard, or infrequent stools, happens to everyone at some point. It can be caused by a disruption in routine or food, or by eating a diet without many fresh fruits and vegetables. Although it is uncomfortable, constipation is common and usually not serious, but it can sometimes become chronic. Adding fiber to the diet, exercising, and taking medications may help.

GERD, or gastroesophageal reflux disease, is a severe form of chronic heartburn where stomach acid spills back up into the esophagus. Left untreated, the acid may even eat away at the esophagus and cause serious damage. Treatment includes changing the diet to avoid trigger foods, losing weight if needed, medications, or even surgery.

Hemorrhoids are blood vessels around the rectum that become irritated, swollen or torn while straining during a bowel movement. They are most often caused by constipation, but can also be caused by pregnancy, diarrhea, or simply a genetic predisposition towards hemorrhoids. Treatment involves first treating any constipation issues, then keeping the area clean and soothed until it has healed. If these measures are ineffective, surgery is sometimes used.

Peptic ulcers are sores or spots of inflammation in the lining of the stomach or close to the stomach in the small intestine. Usually this area is coated with a protective lining that shields the tissue from the strong stomach acid, but a break in the lining can let acid in, causing the sores. It used to be thought that stress caused ulcers, but now it is known that is not the case. Most often, they are caused by an infection by H. pylori bacteria, but ulcers can also be caused by alcohol abuse or overuse of aspirin, ibuprofen, naproxen, or other NSAIDS. The symptoms of an ulcer are pain, hunger, nausea, and fatigue.

Gastrointestinal problems, perhaps more than any other area, are markedly affected by lifestyle. Many disorders can be prevented or treated at least in part by eating a healthy diet high in fiber, exercising regularly, drinking enough water, and limiting alcohol intake. Still, the frequency of digestive disorders means that even the healthiest person can be affected by them. Anyone who notices blood in their stool, experiences abdominal pain, unexplained weight loss, or any significant change in bowel movements should see a doctor.

doctor visit	310

**Gender**
Male	83
Female	136

**Age**
From 65 to 74	94
From 75 to 84	77
85 and over	19
Less than 65	29

Hypertension	66
High Cholesterol	53
Stroke	0
Ischemic Heart Disease	36
Depression	25
Chronic Kidney Disease	25
Asthma	6
Osteoperosis	11
Atrial Fibrilation	11
Heart Failure	18
Chronic Obstructive Pulmonary Disease	28
Diabetes	24
Dementia	0
Cancer	58

doctor visit	206

**Gender**
Male	73
Female	103

**Age**
From 65 to 74	73
From 75 to 84	65
85 and over	14
Less than 65	24

Hypertension	65
High Cholesterol	51
Stroke	0
Ischemic Heart Disease	28
Depression	26
Chronic Kidney Disease	21
Asthma	0
Osteoperosis	9
Atrial Fibrilation	14
Heart Failure	14
Chronic Obstructive Pulmonary Disease	23
Diabetes	30
Dementia	7
Cancer	56

doctor visit	39

**Age**
From 65 to 74	40
From 75 to 84	0
85 and over	0
Less than 65	30

Hypertension	54
High Cholesterol	35
Stroke	0
Ischemic Heart Disease	27
Depression	46
Chronic Kidney Disease	25
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	33
Dementia	0
Cancer	0

blood draw	16
doctor visit	189
lab tests	51
thoracic (chest) imaging	11
X-rays	10

**Gender**
Male	66
Female	127

**Ethnicity**
Non-Hispanic White	181
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	92
From 75 to 84	46
85 and over	24
Less than 65	31

Hypertension	53
High Cholesterol	40
Stroke	0
Ischemic Heart Disease	23
Depression	28
Chronic Kidney Disease	17
Asthma	18
Osteoperosis	0
Atrial Fibrilation	11
Heart Failure	13
Chronic Obstructive Pulmonary Disease	13
Diabetes	20
Dementia	8
Cancer	9

blood draw	49
doctor visit	186

**Gender**
Male	51
Female	111

**Age**
From 65 to 74	76
From 75 to 84	46
85 and over	14
Less than 65	26

Hypertension	52
High Cholesterol	35
Stroke	0
Ischemic Heart Disease	15
Depression	25
Chronic Kidney Disease	21
Asthma	10
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	8
Chronic Obstructive Pulmonary Disease	13
Diabetes	26
Dementia	7
Cancer	0

blood draw	112
doctor visit	201
lab tests	10
musculoskeletal imaging	11
X-rays	10

**Gender**
Male	31
Female	90

**Age**
From 65 to 74	68
From 75 to 84	30
85 and over	11
Less than 65	12

Hypertension	43
High Cholesterol	29
Stroke	0
Ischemic Heart Disease	18
Depression	20
Chronic Kidney Disease	13
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	10
Diabetes	20
Dementia	0
Cancer	0

blood draw	131
doctor visit	208
lab tests	19
musculoskeletal imaging	21
X-rays	20

**Gender**
Male	27
Female	100

**Age**
From 65 to 74	74
From 75 to 84	29
85 and over	0
Less than 65	0

Hypertension	39
High Cholesterol	28
Stroke	0
Ischemic Heart Disease	13
Depression	19
Chronic Kidney Disease	13
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	17
Dementia	0
Cancer	0

blood draw	102
doctor visit	162
musculoskeletal imaging	11
preventive care	17
vaccines	17
X-rays	10

**Gender**
Male	31
Female	88

**Age**
From 65 to 74	74
From 75 to 84	28
85 and over	0
Less than 65	0

Hypertension	38
High Cholesterol	28
Stroke	0
Ischemic Heart Disease	17
Depression	17
Chronic Kidney Disease	18
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	18
Dementia	0
Cancer	0

blood draw	42
doctor visit	337
hospital care	114
inpatient care	114

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Holly Beth Pena, ARNP, FNP for Medicare patients.

The highest averages for the top procedures that Holly Beth Pena, ARNP, FNP treated as a nurse in Coeur D'Alene, ID were hospital care, inpatient care, blood draw and lab tests.

blood draw	75
doctor visit	205
hospital care	114
inpatient care	114
lab tests	27
musculoskeletal imaging	14
preventive care	17
thoracic (chest) imaging	11
vaccines	17
X-rays	13

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Holly Beth Pena, ARNP, FNP.

**Gender**
Male	36
Female	75

**Ethnicity**
Black / African American	0
Asian / Pacific Islander	0
Non-Hispanic White	18
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
75 to 84	32
85 and over	8
Less than 65	15
65 to 74	59

Average of Total of Conditions of Medicare patients treated by Holly Beth Pena, ARNP, FNP From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Holly Beth Pena, ARNP, FNP treated were hypertension, high cholesterol, depression and diabetes.

Hypertension	41
High Cholesterol	29
Stroke	0
Ischemic Heart Disease	17
Depression	20
Chronic Kidney Disease	15
Asthma	3
Osteoporosis	2
Heart Failure	5
Chronic Obstructive Pulmonary Disease	8
Diabetes	18
Atrial Fibrillation	3
Cancer	12
Dementia	2

Education & Training

She is certified by the American Nurses Credentialing Center and has a state license in Idaho.

Board Certification: American Nurses Credentialing Center

Licensed In: Idaho

Affiliations & Hospitals

Holly Beth Pena, ARNP, FNP is associated with these hospitals and organizations:

Kootenai Health

Kootenai Clinic - Gastroenterology

NORTH IDAHO DAY SURGERY LLC

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General Payments

These charts describe general payments received by Holly Beth Pena, ARNP, FNP. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Radius Health, Inc.	$31 Tymlos $31
Hologic Sales and Service, LLC	$22 CoolSeal Generator $22
Amgen Inc.	$20 Prolia $20

**Types of Payments**
Food and Beverage	$73

Biography

Ms. Holly Pena specializes in gastroenterology (digestive system). She is affiliated with Kootenai Health.

Select Year:

Holly Beth Pena, ARNP, FNP

Office Locations

Some issues Holly Beth Pena, ARNP, FNP can help you with:

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

2013 Medicare Patient Data

Conditions of Medicare patients treated by Holly Beth Pena, ARNP, FNP in 2013

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

2014 Medicare Patient Data

Conditions of Medicare patients treated by Holly Beth Pena, ARNP, FNP in 2014

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

2015 Medicare Patient Data

Conditions of Medicare patients treated by Holly Beth Pena, ARNP, FNP in 2015

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

2016 Medicare Patient Data

Conditions of Medicare patients treated by Holly Beth Pena, ARNP, FNP in 2016

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

2017 Medicare Patient Data

Conditions of Medicare patients treated by Holly Beth Pena, ARNP, FNP in 2017

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

2018 Medicare Patient Data

Conditions of Medicare patients treated by Holly Beth Pena, ARNP, FNP in 2018

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

2019 Medicare Patient Data

Conditions of Medicare patients treated by Holly Beth Pena, ARNP, FNP in 2019

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

2020 Medicare Patient Data

Conditions of Medicare patients treated by Holly Beth Pena, ARNP, FNP in 2020

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

Average Medicare Procedure Volume From 2013 - 2021

Average Medicare Patient Data From 2013 - 2021

Average of Total of Conditions of Medicare patients treated by Holly Beth Pena, ARNP, FNP From 2013 - 2021

Education & Training

Affiliations & Hospitals

Ratings & Reviews

General Payments

Biography

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