NPIMap

Individual provider Active NPI

Venessa Marie Mazur, MSPAS, PA-C

  • Medical Physician Assistant
  • Fort Worth, TX
National Provider Identifier
1083928014
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA.0003966 Issued in CO
Practice address
1250 8TH Ave Ste 650
Fort Worth, TX 76104-4160
Phone
(817) 912-9180
NPI assigned
Aug 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA06838 TX
Medical Physician Assistant 363AM0700X PA.0003966 CO Primary

Addresses

Primary practice location

1250 8TH Ave Ste 650
Fort Worth, TX 76104-4160

Mailing address

1250 8TH Ave Ste 650
Fort Worth, TX 76104-4160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141009002321 CO Practitioner - Physician Assistant 9234327032 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians
Healthtexas Provider NetworkGroup PAC ID 1355254210, shared by 31 NPIs, 2,535 clinicians

Practice addresses (Care Compare)

100 Cook St
Denver, CO 80206-5339

1307 8TH Ave
Suite 406
Fort Worth, TX 76104-4141
Phone (817) 912-8040

4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260

5408 Colleyville Blvd
Colleyville, TX 76034-5833
Phone (817) 498-9920

Hospital & facility affiliations

  • University of Colorado Hospital Authority Hospital, Aurora, CO, CCN 060024

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.0003966COMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince Oct 18, 2021 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Oct 18, 2021 Accepting new patients
Onpoint Medical Group, LLC CurrentSince Jul 27, 2020 Accepting new patients
Onpoint Medical Group, LLC CurrentSince Jul 27, 2020 Accepting new patients
Healthtexas Provider Network Past Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

100 Cook St
Ste 312
Denver, CO 80206
Phone (720) 516-9408

1805 Shea Center Dr
Ste 301
Highlands Ranch, CO 80129
Phone (303) 357-2559

7335 S Pierce St
Littleton, CO 80128
Phone (303) 932-1919

9218 Kimmer Dr
Ste 207
Lone Tree, CO 80124
Phone (720) 493-9006

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

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 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1083928014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 8TH AVE STE 650",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 8TH AVE STE 650",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044160",
            "telephone_number": "817-912-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZUR",
        "first_name": "VENESSA",
        "middle_name": "MARIE",
        "credential": "MSPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-02",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06838",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA.0003966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.