ERICKA MARIA VALENZUELA DO
NPI 1780623678
Family Medicine in Pine Bush, NY

Active since June 06, 2006Opted out of Medicare · through Oct 1, 2026
76 BONIFACE DR STE 1, PINE BUSH, NY 12566(845) 545-6212(845) 345-6212 Get Directions Write a Review

NPPES record last updated: September 19, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 19, 2022, Sep 20, 2019, Dec 22, 2016 (3 updates tracked since 2016).

About Ericka Maria Valenzuela Do NPPES

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

ERICKA MARIA VALENZUELA DO (NPI 1780623678) is an individual family medicine provider in Pine Bush, New York, licensed in New York (245028) and active in the NPI registry since June 2006. She has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1780623678
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameERICKA MARIA VALENZUELACredential: DO
Location Address76 BONIFACE DR STE 1Pine Bush, NY 12566-4611
Mailing Address76 Boniface DrPine Bush, NY 12566-4612 · (845) 545-6212 · Fax (845) 345-6212
Fax(845) 345-6212
Sole ProprietorYes
Enumeration DateJune 6, 2006
Last NPPES UpdateSeptember 19, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2022
NPI 1780623678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 245028
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
76 BONIFACE DR STE 1, Pine Bush, NY 12566

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Ericka Maria Valenzuela Do 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 October 1, 2022 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2022
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12566 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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

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

Family Medicine
76 BONIFACE DR STE 1
PINE BUSH, NY 12566

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 Ericka Valenzuela's NPI number?

The NPI number for Ericka Valenzuela is 1780623678. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Ericka Valenzuela located?

Ericka Valenzuela practices at 76 Boniface Dr Ste 1, Pine Bush, NY 12566. The listed phone number is (845) 545-6212.

What is Ericka Valenzuela's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ericka Valenzuela enrolled in Medicare?

No. Ericka Valenzuela has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Ericka Valenzuela was last updated on September 19, 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.