VALERIE LUISA VILLANUEVA PA-C
NPI 1104232701
Physician Assistant - Medical in Shaw Afb, SC

NPI Status: Active since July 03, 2014

Contact Information

420 POLIFKA DR
SHAW AFB, SC
ZIP 29152
Phone: (038) 956-5428

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  • Individual
  • Female
  • Physician Assistant
  • Medical
  • PECOS Enrolled

About VALERIE VILLANUEVA

This page provides the complete NPI Profile along with additional information for Valerie Villanueva, a primary care provider established in Shaw Afb, South Carolina with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1104232701 assigned on July 2014. The practitioner's primary taxonomy code is 363AM0700X. The provider is registered as an individual and her NPI record was last updated January 2026.

NPI
1104232701
Provider Name
VALERIE LUISA VILLANUEVA PA-C
Gender
Female
Entity Type
Individual
Location Address
420 POLIFKA DR SHAW AFB, SC 29152
Location Phone
(038) 956-5428
Mailing Address
420 POLIFKA DR SHAW AFB, SC 29152
Is Sole Proprietor?
No
Enumeration Date
07-03-2014
Last Update Date
01-08-2026
Code Navigator

A primary care provider (PCP) like Valerie Villanueva sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 2625 E 62nd St
    Indianapolis, IN 46220
    (317) 251-6121

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 
2363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

10005157A (IN)

Medicare Participation & PECOS Enrollment Status

Valerie Villanueva is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104232701, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
2
Doubled → 4
Pos 6
3
Unchanged
Pos 7
2
Doubled → 4
Pos 8
7
Unchanged
Pos 9
0
Doubled → 0
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 2 → 4 2 → 4 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 4 + 3 + 4 + 7 + 0 + 24 = 49

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1104232701.

Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Nurse Practitioner (Women's Health)
420 POLIFKA DR
SHAW AFB, SC 29152
Psychiatry & Neurology (Psychiatry)
420 POLIFKA DR
SHAW AFB, SC 29152
Nurse Practitioner (Family)
420 POLIFKA DR
SHAW AFB, SC 29152
Physical Therapist
420 POLIFKA DR
SHAW AFB, SC 29152
Internal Medicine
420 POLIFKA DR
SHAW AFB, SC 29152
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
420 POLIFKA DR
SHAW AFB, SC 29152
Family Medicine
420 POLIFKA DR
SHAW AFB, SC 29152
Registered Nurse (Case Management)
420 POLIFKA DR
SHAW AFB, SC 29152
Military Health Care Provider (Independent Duty Medical Technicians)
420 POLIFKA DR
SHAW AFB, SC 29152
Physician Assistant
420 POLIFKA DR
SHAW AFB, SC 29152
Nurse Practitioner (Family)
420 POLIFKA DR
SHAW AFB, SC 29152
Military Health Care Provider (Independent Duty Medical Technicians)
420 POLIFKA DR
SHAW AFB, SC 29152
Social Worker
420 POLIFKA DR
SHAW AFB, SC 29152
Nurse Practitioner (Primary Care)
420 POLIFKA DR
SHAW AFB, SC 29152
Pharmacist
420 POLIFKA DR
SHAW AFB, SC 29152
Physical Therapist
420 POLIFKA DR
SHAW AFB, SC 29152

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104232701, enumerated as an "individual" on July 03, 2014.

The provider is located at 420 POLIFKA DR SHAW AFB, SC 29152 and the phone number is (038) 956-5428.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.