Active NPI
Melissa A Veneracion, PA-C
- Physician Assistant
- Annapolis, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C0002907
- Practice address
- 101 Ridgely Ave
Suite 10
Annapolis, MD 21401-1409 - Phone
- (410) 263-5439
- Fax
- (410) 263-7482
- NPI assigned
- May 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0002907 | MD | Primary |
Addresses
Primary practice location
101 Ridgely Ave
Suite 10
Annapolis, MD 21401-1409
Mailing address
101 Ridgely Ave
Suite 10
Annapolis, MD 21401-1409
Phone (410) 263-5439
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Centennial St
Suite H
La Plata, MD 20646-5976
Phone (301) 292-6010
174 Waterfront St
Suite 200
Oxon Hill, MD 20745-1164
Phone (240) 493-8447
2401 Research Blvd
Suite 260
Rockville, MD 20850-3261
Phone (301) 990-6565
7505 Osler Dr
Suite 308
Towson, MD 21204-7738
Phone (410) 472-0901
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.97 of 100
- Quality
- 78.47
- Promoting interoperability
- 83
- Improvement activities
- 40
- Cost
- 82.27
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0002907 | MD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Dermatology of Maryland PC | Current | Accepting new patients | |
| Advanced Dermatology of Maryland PC | Current | Accepting new patients | |
| Advanced Dermatology of Maryland PC | Past | Accepting new patients |
Locations
151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293
11701 Livingston Rd
Ste 302
Ft Washington, MD 20744
Phone (301) 292-6010
101 Centennial St
Ste H
La Plata, MD 20646
Phone (301) 292-6010
174 Waterfront St
Ste 200
Oxon Hill, MD 20745
Phone (240) 493-8447
2401 Research Blvd
Ste 260
Rockville, MD 20850
Phone (301) 990-6565
7505 Osler Dr
Ste 308
Towson, MD 21204
Phone (410) 296-1464
Organizations & group practices 3
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.
-
- Dermatology Physician
- Fort Washington, MD
- NPI 1386479004
-
- Dermatology Physician
- La Plata, MD
- NPI 1477388197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427263102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 RIDGELY AVE",
"address_2": "SUITE 10",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214011409",
"telephone_number": "410-263-5439",
"fax_number": "410-263-7482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 RIDGELY AVE",
"address_2": "SUITE 10",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214011409",
"telephone_number": "410-263-5439",
"fax_number": "410-263-7482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENERACION",
"first_name": "MELISSA",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0002907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.