ENRIQUE VALENCIA NP
NPI 1851161152
Nurse Practitioner - Acute Care in Macon, GA

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LA2100X and a focus in Acute Care.

Active since January 08, 2024PECOS EnrolledAccepts Medicare Assignment

840 PINE ST STE 500, MACON, GA 31201(478) 633-8682(478) 633-8698 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Enrique Valencia Np NPPES

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

ENRIQUE VALENCIA NP (NPI 1851161152) is an individual acute care provider in Macon, Georgia, licensed in Georgia (RN284102) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1851161152

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameENRIQUE VALENCIACredential: NP

Location Address840 PINE ST STE 500Macon, GA 31201-7530

Mailing Address840 Pine St Ste 500Macon, GA 31201-7530 · (478) 633-8682 · Fax (478) 633-8698

Phone(478) 633-8682

Fax(478) 633-8698

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJanuary 8, 2024

Last NPPES UpdateJanuary 22, 2024

NPPES CertifiedJanuary 22, 2024

✔ NPI 1851161152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in GA · RN284102

840 PINE ST STE 500, Macon, GA 31201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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

Enrique Valencia Np 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 ID2466805668

PECOS Enrollment IDI20240124001259

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31201 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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 14

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

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