ENRIQUE VALENCIA NP
NPI 1851161152
Nurse Practitioner - Acute Care in Macon, GA
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, is affiliated with Atrium Health Navicent The Medical Center, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Enrique Valencia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Macon, GA 31201
- Reassigned Medicare billing, Georgia enrollment
- 25 clinicians in this Medicare group
Warner Robins, GA 31093
- Reassigned Medicare billing, Georgia enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Atrium Health Navicent The Medical Center
Acute Care Hospitals · Macon, GAPhysician 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.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MACON, GA 31201
MACON, GA 31201
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 Enrique Valencia's NPI number?
The NPI number for Enrique Valencia is 1851161152. It was assigned to this individual provider in the NPPES registry on January 8, 2024.
Where is Enrique Valencia located?
Enrique Valencia practices at 840 Pine St Ste 500, Macon, GA 31201. The listed phone number is (478) 633-8682.
What is Enrique Valencia's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Enrique Valencia enrolled in Medicare?
Yes. Enrique Valencia 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.
Which organizations bill Medicare for Enrique Valencia's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Enrique Valencia reassigns Medicare benefits to 2 organizations: Gastroenterology Associates Of Central Ga, LLC (Macon, GA) and Middle Georgia Vascular Surgery Center LLC (Warner Robins, GA). Each 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 Enrique Valencia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Enrique Valencia accept?
Health plans from Alliant Health Plans, Inc., Oscar Health and Oscar Insurance Company list Enrique Valencia 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 Enrique Valencia affiliated with any hospitals?
According to CMS data, Enrique Valencia is affiliated with Atrium Health Navicent The Medical Center.
When was this NPI record last updated?
The NPPES record for Enrique Valencia was last updated on January 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Enrique Valencia, NP · NPI 1851161152
Acute Care physician in Macon, Georgia. Individual provider, active in the CMS NPPES registry since January 8, 2024.
## Identity
- **NPI:** 1851161152 (Entity type: Individual)
- **Enumerated:** January 8, 2024
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** RN284102 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 840 PINE ST STE 500, Macon, GA 31201-7530
- **Phone:** (478) 633-8682 · **Fax:** (478) 633-8698
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Gastroenterology Associates Of Central Ga, LLC (NPI 1528192176, Macon, GA); Middle Georgia Vascular Surgery Center LLC (NPI 1992251037, Warner Robins, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** January 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1851161152) · Data from the CMS NPPES public registry.