WESLEY VILLANUEVA (PA) – Medical Physician Assistant, NPI 1790213692

WESLEY VILLANUEVA (PA) is a healthcare provider. based in Maitland, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA9110797 (FL). The NPI Number for WESLEY VILLANUEVA (PA) is 1790213692

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
WESLEY VILLANUEVA (PA)
NPI
1790213692
Phone
(863) 835-1562
Address
1221 OXFORD RD
Enumeration Date
23 May 2017
Last Update Date
31 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3218416600
Graduation Year
2017 (9 years ago)
PAC ID
8224457106
Group Practice PAC ID
7719026251
Professional Enrollment ID
I20200925001122
Address ID
FL328061133OR21XXXSTXX305
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for WESLEY VILLANUEVA (PA)

  • Maitland, Little Clarendon Street, Little Clarendon St., Norham Manor, Oxford, Oxfordshire, South East, England, OX1 2HS, United Kingdom

    MAITLAND, FL 327513520

    Phone: (863) 835-1562

    Type: Mailing

  • 13275, West Colonial Drive, Winter Garden, Orange County, Florida, 34787, United States

    WINTER GARDEN, FL 347873984

    Phone: (407) 905-8827

    Fax: (407) 905-8998

    Type: Location

  • 5409 DEEP LAKE RD

    OVIEDO, FL 327655240

    Phone: (407) 366-9800

    Fax: (321) 203-4604

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-09-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200925001122IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample6837$0
View full utilization report →

Insurance plans in this area (ZIP 32751)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719026251View full group profile

Reviews

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Frequently asked questions

What is WESLEY VILLANUEVA (PA)'s NPI number?
WESLEY VILLANUEVA (PA)'s NPI is 1790213692 — the number used across U.S. healthcare to identify this provider.
Is WESLEY VILLANUEVA (PA) shown as active in public data?
Registry records indicate WESLEY VILLANUEVA (PA) maintains an active NPI.
What area of care is associated with WESLEY VILLANUEVA (PA)?
WESLEY VILLANUEVA (PA)'s record emphasizes Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is WESLEY VILLANUEVA (PA) associated with Maitland?
Public fields place WESLEY VILLANUEVA (PA) around Maitland, Florida. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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