Individual provider Active NPI

Paige Marie Venables, PA-C

  • Physician Assistant
  • Milford, DE
National Provider Identifier
1912410119
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
310 Mullet Run
Milford, DE 19963-5371
Phone
(302) 459-5010
Fax
(302) 487-1727
NPI assigned
Nov 9, 2017
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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 Primary

Addresses

Primary practice location

310 Mullet Run
Milford, DE 19963-5371

Mailing address

310 Mullet Run
Milford, DE 19963-5371
Phone (302) 459-5010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20180419000964 DE Practitioner - Physician Assistant 8820351356 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Green Dermatology LLCGroup PAC ID 1254874860, 4 clinicians

Practice addresses (Care Compare)

310 Mullet Run
Milford, DE 19963-5371
Phone (302) 459-5010

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.75 of 100Reported as group
Promoting interoperability
95
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ambient Medical Care, LLC Current Accepting new patients
Ambient Care Express Milford CurrentSince Jun 1, 2020 Accepting new patients

Locations

24459 Sussex Hwy
Seaford, DE 19973
Phone (302) 629-3099

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

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": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1912410119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 MULLET RUN",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199635371",
            "telephone_number": "302-459-5010",
            "fax_number": "302-487-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 MULLET RUN",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199635371",
            "telephone_number": "302-459-5010",
            "fax_number": "302-487-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENABLES",
        "first_name": "PAIGE",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-09",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, DE

Sources for this page

Verify at the official NPI Registry.