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MARCELA PROVENZANO PA-C
NPI 1346967734
Physician Assistant in Raleigh, NC

Active since October 26, 2022PECOS EnrolledAccepts Medicare Assignment
10207 CERNY ST STE 102, RALEIGH, NC 27617(919) 613-1807(919) 544-6907 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 15, 2025, Oct 26, 2022 (2 updates tracked since 2022).

About Marcela Provenzano Pa-c NPPES

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

MARCELA PROVENZANO PA-C (NPI 1346967734) is an individual physician assistant in Raleigh, North Carolina, licensed in North Carolina (0010-12733) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Duke University School Of Medicine (2022).

NPPES Registry Identity

NPI1346967734
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARCELA PROVENZANOCredential: PA-C
Location Address10207 CERNY ST STE 102Raleigh, NC 27617-4880
Mailing Address10207 Cerny St Ste 102Raleigh, NC 27617-4880 · (919) 613-1807 · Fax (919) 544-6907
Phone(919) 613-1807
Fax(919) 544-6907
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2022
Enumeration DateOctober 26, 2022
Last NPPES UpdateAugust 15, 20252 updates tracked since enumeration
NPPES CertifiedAugust 15, 2025
✔ NPI 1346967734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-12733
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
10207 CERNY ST STE 102, Raleigh, NC 27617
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Other Names 1

Former Name (1)Marcela Hernandez Pa-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marcela Provenzano Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032581335
PECOS Enrollment IDI20230215000761
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
57 services47 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
25 services24 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27617 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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 2

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

AKASH KISHORE GUPTA MD
Internal Medicine (Rheumatology)
10207 CERNY ST STE 102
RALEIGH, NC 27617
Wake County (919) 613-2243
YUSUF MIRALOGLU NP., MS
Nurse Practitioner
10207 CERNY ST STE 102
RALEIGH, NC 27617
Wake County (919) 613-2243

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marcela Provenzano's NPI number?

The NPI number for Marcela Provenzano is 1346967734. It was assigned to this individual provider in the NPPES registry on October 26, 2022. The provider is also known as Marcela Hernandez Pa-C.

Where is Marcela Provenzano located?

Marcela Provenzano practices at 10207 Cerny St Ste 102, Raleigh, NC 27617. The listed phone number is (919) 613-1807.

What is Marcela Provenzano's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Marcela Provenzano enrolled in Medicare?

Yes. Marcela Provenzano is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Marcela Provenzano accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Marcela Provenzano as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Marcela Provenzano affiliated with any hospitals?

According to CMS data, Marcela Provenzano is affiliated with Duke University Hospital.

When was this NPI record last updated?

The NPPES record for Marcela Provenzano was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.