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MARCELO ENRIQUE VENEGAS A.P.R.N.
NPI 1467891382
Nurse Practitioner - Family in Louisville, KY

Active since June 25, 2013PECOS Enrolled
5100 OUTER LOOP, LOUISVILLE, KY 40219(502) 968-6226(502) 966-5562 Get Directions Write a Review

NPPES record last updated: April 18, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 18, 2019, Jun 26, 2018 (2 updates tracked since 2018).

About Marcelo Enrique Venegas A.p.r.n. NPPES

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

MARCELO ENRIQUE VENEGAS A.P.R.N. (NPI 1467891382) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (3008115) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467891382
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMARCELO ENRIQUE VENEGASCredential: A.P.R.N.
Location Address5100 OUTER LOOPLouisville, KY 40219-3023
Mailing Address100 E Liberty St Ste 800Louisville, KY 40202-1428 · (502) 540-3339 · Fax (502) 540-3393
Phone(502) 968-6226
Fax(502) 966-5562
Sole ProprietorNo
Enumeration DateJune 25, 2013
Last NPPES UpdateApril 18, 20192 updates tracked since enumeration
✔ NPI 1467891382 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 KY · 3008115
5100 OUTER LOOP, Louisville, KY 40219
Open in Google Maps ↗

Other Identifiers 1

Medicaid7100247090KY

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marcelo Enrique Venegas A.p.r.n. 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.

Medicare Billing Reassignment

Medicare enrollment records show Marcelo Venegas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Louisville Phyisicians, Inc.
6.7 mi
Sleep Medicine
3920 DUTCHMANS LN
Louisville, KY 40207
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: University Of Louisville Physicians Inc
  • 2,337 clinicians in this Medicare group
NPI 1679222632 (502) 259-6610

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40219 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 11

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

SPECIALIZED DENTAL SERVICES-JEFFERSON MALL, PLLC
Clinic/Center (Dental)
5100 OUTER LOOP, SUITE B
LOUISVILLE, KY 40219
Jefferson County (502) 410-1702
ALEXANDER MUSSER
Dentist (Oral and Maxillofacial Surgery)
5100 OUTER LOOP
LOUISVILLE, KY 40219
Jefferson County (502) 966-8660
DR. MANEESH MOHAN DMD
Dentist (Oral and Maxillofacial Surgery)
5100 OUTER LOOP, SUITE B
LOUISVILLE, KY 40219
Jefferson County (502) 966-8660
LISA KING M.D.
Family Medicine
5100 OUTER LOOP
LOUISVILLE, KY 40219
Jefferson County (502) 968-6226
MRS. CHARLA J FROMAN GLOVER ARNP
Nurse Practitioner (Family)
5100 OUTER LOOP
LOUISVILLE, KY 40219
Jefferson County (502) 968-6226
MINA BEAR APRN-NP
Nurse Practitioner (Family)
5100 OUTER LOOP
LOUISVILLE, KY 40219
Jefferson County (502) 968-6226
PERIODONTIC & ENDODONTIC SERVICES-JEFFERSON MALL, PLLC
Clinic/Center (Dental)
5100 OUTER LOOP, STE B
LOUISVILLE, KY 40219
Jefferson County (502) 966-8660
KIDS DENTISTRY-JEFFERSON MALL,PLLC
Clinic/Center (Dental)
5100 OUTER LOOP, SUITE C
LOUISVILLE, KY 40219
Jefferson County (502) 969-9266

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 Marcelo Venegas's NPI number?

The NPI number for Marcelo Venegas is 1467891382. It was assigned to this individual provider in the NPPES registry on June 25, 2013.

Where is Marcelo Venegas located?

Marcelo Venegas practices at 5100 Outer Loop, Louisville, KY 40219. The listed phone number is (502) 968-6226.

What is Marcelo Venegas's specialty?

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

Is Marcelo Venegas enrolled in Medicare?

Yes. Marcelo Venegas is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marcelo Venegas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marcelo Venegas reassigns Medicare benefits to University Of Louisville Phyisicians, Inc. (Louisville, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marcelo Venegas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marcelo Venegas accept?

Health plans from CareSource list Marcelo Venegas 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.

When was this NPI record last updated?

The NPPES record for Marcelo Venegas was last updated on April 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.