NPIMap

Individual provider Active NPI

Gabrielle Nicole Ventura, PA-C

  • Physician Assistant
  • Winston Salem, NC
National Provider Identifier
1831827401
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001012633 Issued in NC
Practice address
1901 S Hawthorne Rd Ste 310
Winston Salem, NC 27103-3915
Phone
(336) 268-3129
NPI assigned
Aug 11, 2022
Last updated
May 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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 001012633 NC Primary
Medical Physician Assistant 363AM0700X

Addresses

Primary practice location

1901 S Hawthorne Rd Ste 310
Winston Salem, NC 27103-3915

Mailing address

1901 S Hawthorne Rd Ste 310
Winston Salem, NC 27103-3915

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Gabriella.Scheck@eaglep.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, AZ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221101002591 NC Practitioner - Physician Assistant 2961879119 Reassigns benefits to 2 organizations
I20260325001463 AZ Practitioner - Physician Assistant 2961879119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Allied Physicians LLCGroup PAC ID 7618972514, 120 clinicians

Practice addresses (Care Compare)

1901 S Hawthorne Rd
Suite 310
Winston Salem, NC 27103-3915
Phone (336) 448-2427

6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Phone (520) 469-8100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates of the Piedmont, P.a. CurrentSince Dec 1, 2023 Accepting new patients
Eagle Physicians and Associates PA CurrentSince Oct 17, 2022 Accepting new patients
Eagle Physicians and Associates PA Past Accepting new patients

Locations

1830 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 448-2427

1901 S Hawthorne Rd
Ste 310
Winston Salem, NC 27103
Phone (336) 448-2427

Interoperability endpoints

  • Direct secure messaging: gabriella.scheck@eaglep.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1831827401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S HAWTHORNE RD STE 310",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S HAWTHORNE RD STE 310",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033915",
            "telephone_number": "336-268-3129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENTURA",
        "first_name": "GABRIELLE",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001012633",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Gabriella.Scheck@eaglep.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1002 N Church St Ste 201",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274011448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.