MRS. MYRNA VELAZQUEZ FNP
NPI 1083902654
Nurse Practitioner - Family in Clarksville, IN

Q: What is Myrna Velazquez's NPI number?

The NPI number for Myrna Velazquez is 1083902654. It was assigned to this individual provider in the NPPES registry on July 18, 2011. The provider is also known as Ms. Myrna Montanez Rn.

Q: What is Myrna Velazquez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Myrna Velazquez was last updated on October 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 18, 2011PECOS Enrolled

101 POTTERS LN, CLARKSVILLE, IN 47129(443) 383-9300(855) 866-8710 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mrs. Myrna Velazquez Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MYRNA VELAZQUEZ FNP (NPI 1083902654) is an individual family provider in Clarksville, Indiana, licensed in Illinois (209008817) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083902654

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. MYRNA VELAZQUEZCredential: FNP

Location Address101 POTTERS LNClarksville, IN 47129-1017

Mailing Address909 Ridgebrook Rd Ste 300Sparks, MD 21152-9477 · (443) 383-9300 · Fax (855) 866-8710

Phone(443) 383-9300

Fax(855) 866-8710

Sole ProprietorNo

Enumeration DateJuly 18, 2011

Last NPPES UpdateOctober 20, 2022

NPPES CertifiedOctober 20, 2022

✔ NPI 1083902654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209008817

101 POTTERS LN, Clarksville, IN 47129

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Other Names 1

Former Name (1)Ms. Myrna Montanez Rn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Myrna Velazquez Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47129 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OLUWASAYO SINKAIYE

Nurse Practitioner (Family)