MS. CYNTHIA ANN VENECIA FNP-BC
NPI 1104238963
Nurse Practitioner - Family in Arcata, CA

Q: What is Cynthia Venecia's NPI number?

The NPI number for Cynthia Venecia is 1104238963. It was assigned to this individual provider in the NPPES registry on May 28, 2014.

Q: What is Cynthia Venecia's specialty?

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

Q: Is Cynthia Venecia enrolled in Medicare?

No. Cynthia Venecia has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Cynthia Venecia was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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 May 28, 2014Opted out of Medicare · through Jan 1, 2028

1150 FOSTER AVE, ARCATA, CA 95521(707) 822-2481(707) 826-8623 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 19, 2024, Mar 13, 2017 (2 updates tracked since 2017).

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About Ms. Cynthia Ann Venecia Fnp-bc NPPES

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

MS. CYNTHIA ANN VENECIA FNP-BC (NPI 1104238963) is an individual family provider in Arcata, California, licensed in California (95028409) and active in the NPI registry since May 2014. She has opted out of Medicare through January 1, 2028 and maintains a secondary practice location in Pflugerville.

NPPES Registry Identity

NPI1104238963

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. CYNTHIA ANN VENECIACredential: FNP-BC

Location Address1150 FOSTER AVEArcata, CA 95521-5986

Mailing Address1150 Foster AveArcata, CA 95521-5986 · (707) 826-8610 · Fax (707) 826-8623

Phone(707) 822-2481

Fax(707) 826-8623

Sole ProprietorNo

Enumeration DateMay 28, 2014

Last NPPES UpdateAugust 19, 20242 updates tracked since enumeration

NPPES CertifiedAugust 19, 2024

✔ NPI 1104238963 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

Licenses✔ Licensed in CA · 95028409✔ Licensed in TX · AP125441

1150 FOSTER AVE, Arcata, CA 95521

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Secondary Practice Location 1

Location 115822 Foothill Farms LoopPflugerville, TX 78660-3422 · Phone (512) 978-9840 · Fax (512) 901-9770

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Cynthia Ann Venecia Fnp-bc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2026 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2026

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 10

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

EMILY DAVIS MD

Family Medicine