Marta Pacheco

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

0024189006 Issued in VA

Practice address

1617 Shetland LN
Rock Hill, SC 29730-4998

Phone

(540) 797-4361

NPI assigned

Nov 1, 2021

Last updated

Jan 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, VA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Friendship Physician Clinic IncGroup PAC ID 2567874571, 8 clinicians

Provider Partners Care Management LPGroup PAC ID 9335379270, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health (Roanoke) Home health agency, Roanoke, VA, CCN 497608
• Good Samaritan Hospice Inc Hospice, Roanoke, VA, CCN 491510
• Lewisgale Medical Center Hospital, Salem, VA, CCN 490048

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Friendship Physician Clinic Inc

  dba Geriatric Care Associates of Roanoke

  • Primary Care Clinic/Center
  • Roanoke, VA
  • NPI 1366041170
  Medicare reassignment Care Compare group NPD
• Provider Partners Care Management LP

  • Nurse Practitioner
  • Columbia, MD
  • NPI 1013348028

  VA

  Medicare reassignment Care Compare group NPD
• Horizon Internal Medicine PLLC

  • Internal Medicine Physician
  • High Point, NC
  • NPI 1033353941
  Medicare reassignment NPD
• Horizon Internal Medicine PLLC

  • Internal Medicine Physician
  • Ramseur, NC
  • NPI 1053613075
  NPD
• NC Elder Care PLLC

  • Internal Medicine Physician
  • High Point, NC
  • NPI 1962948240
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Eh Home Health of Roanoke, LLC

  dba Enhabit Home Health

  • Home Health Agency
  • Roanoke, VA
  • NPI 1083158950
  Care Compare affiliation
• Good Samaritan Hospice, Inc.

  • Community Based Hospice Care Agency
  • Roanoke, VA
  • NPI 1548268923
  Care Compare affiliation
• Lewis-Gale Medical Center, LLC

  dba Lewisgale Medical Center

  • General Acute Care Hospital
  • Salem, VA
  • NPI 1619914785
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1053076554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 SHETLAND LN",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297304998",
            "telephone_number": "540-797-4361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 SHETLAND LN",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297304998",
            "telephone_number": "540-797-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "MARTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NC",
            "license": "2000319019",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024189006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catlin Owens
• Jessica Oxendine, PHARMD, MBA
• Edwin Iyere Ozua, M.D.
• P&D Entities of SC, Inc (Always Best Care of Rock Hill)
• Amanda Yvonne Pabon
• Deanna Padilla
• Gina R Padula, M.D.
• Monica Pagan
• Palmetto Autism Services
• Palmetto Cardiology of York County, LLC.

• Acute Care Nurse Practitioner in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Acute Care Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.