Individual provider Active NPI

Kathleen Venesky, P.A.

  • Medical Physician Assistant
  • Glen Mills, PA
National Provider Identifier
1811226806
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA054050 Issued in PA
Practice address
500 Evergreen Dr
Suite 20
Glen Mills, PA 19342-1032
Phone
(484) 785-3376
Fax
(610) 358-6913
NPI assigned
Dec 22, 2009
Last updated
Sep 26, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA054050 PA Primary

Addresses

Primary practice location

500 Evergreen Dr
Suite 20
Glen Mills, PA 19342-1032

Mailing address

500 Evergreen Dr
Suite 20
Glen Mills, PA 19342-1032
Phone (484) 785-3376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100208000463 PA Practitioner - Physician Assistant 9032252440 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bryn Mawr Dermatology PCGroup PAC ID 2668493735, 13 clinicians

Practice addresses (Care Compare)

775 E Lancaster Ave
Suite 200
Villanova, PA 19085-1529
Phone (610) 525-7800

Merit-based Incentive Payment System (MIPS)

Final score
83.83 of 100Reported as group
Quality
66.36
Improvement activities
40
Cost
90.95

National Provider Directory

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380153600000",
    "number": "1811226806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 EVERGREEN DR",
            "address_2": "SUITE 20",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421032",
            "telephone_number": "484-785-3376",
            "fax_number": "610-358-6913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 EVERGREEN DR",
            "address_2": "SUITE 20",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421032",
            "telephone_number": "484-785-3376",
            "fax_number": "610-358-6913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENESKY",
        "first_name": "KATHLEEN",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-22",
        "last_updated": "2013-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA054050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Mills, PA

Sources for this page

Verify at the official NPI Registry.