Individual provider Active NPI

Venecia M Marte, PA

  • Physician Assistant
  • Candler, NC
National Provider Identifier
1063502805
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-13176 Issued in NC
Practice address
1914 Smoky Park Hwy
Candler, NC 28715-9367
Phone
(828) 285-0622
Fax
(828) 285-9831
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-13176 NC Primary

Addresses

Primary practice location

1914 Smoky Park Hwy
Candler, NC 28715-9367

Mailing address

1310 Chestnut Mountain Rd Apt 4T
Canton, NC 28716-9473
Phone (718) 683-8327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC2 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

Enrollment IDStateProvider typePAC IDDetails
I20100623000069 NY Practitioner - Physician Assistant 8022149822 Reassigns benefits to 1 organization
I20230921004343 NC Practitioner - Physician Assistant 8022149822 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western North Carolina Community Health Services Inc.Group PAC ID 0840264669, shared by 3 NPIs, 21 clinicians

Practice addresses (Care Compare)

1914 Smoky Park Hwy
Candler, NC 28715-9367
Phone 82828506224400

257 Biltmore Ave
Asheville, NC 28801-4120
Phone (828) 285-0622

Hospital & facility affiliations

  • Memorial Mission Hospital and Asheville Surgery Ce Hospital, Asheville, NC, CCN 340002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
009530NYMDCritical Care Registered Respiratory Therapist
0010-13176NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Apr 13, 2018 Accepting new patients
Western North Carolina Community Health Services, Inc. CurrentSince Sep 5, 2023 Accepting new patients
Montefiore Medical Center CurrentSince Apr 13, 2018 Accepting new patients
Western North Carolina Community Health Services, Inc. CurrentSince Sep 5, 2023 Accepting new patients

Locations

257 Biltmore Ave
Asheville, NC 28801
Phone (828) 285-0622

29 Turtle Creek Dr
Asheville, NC 28803

111 E 210th St
Bronx, NY 10467

Organizations & group practices 6

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1063502805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 CHESTNUT MOUNTAIN RD APT 4T",
            "city": "CANTON",
            "state": "NC",
            "postal_code": "287169473",
            "telephone_number": "718-683-8327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 SMOKY PARK HWY",
            "city": "CANDLER",
            "state": "NC",
            "postal_code": "287159367",
            "telephone_number": "828-285-0622",
            "fax_number": "828-285-9831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTE",
        "first_name": "VENECIA",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-13176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Candler, NC

Sources for this page

Verify at the official NPI Registry.