MARY JANE ALCANTARA VENZON (ARNP) – Nurse Practitioner, NPI 1821489204

MARY JANE ALCANTARA VENZON (ARNP) is a healthcare provider. based in Deland, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. H119413 (IA). The NPI Number for MARY JANE ALCANTARA VENZON (ARNP) is 1821489204

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MARY JANE ALCANTARA VENZON (ARNP)
NPI
1821489204
Phone
(386) 943-7100
Address
1070 N STONE ST STE A
Enumeration Date
6 February 2015
Last Update Date
18 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4078314040
Graduation Year
2014 (12 years ago)
PAC ID
4789901992
Group Practice PAC ID
1557722410
Professional Enrollment ID
I20151130001078
Address ID
FL327015102AL661XXDRXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:11State licenses:2Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for MARY JANE ALCANTARA VENZON (ARNP)

  • 1070 N STONE ST STE A

    DELAND, FL 327200824

    Phone: (386) 943-7100

    Fax: (386) 943-8909

    Type: Mailing

  • 115 8th St NE

    Cedar Rapids, IA 524011013

    Phone: (319) 363-3565

    Type: Location

  • 1070 N Stone St Ste A

    Deland, FL 32720

    Phone: (386) 943-7100

    Fax: (386) 943-8909

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $935.

Total Amount is formed as General ($935) + Research ($0) + Ownership ($0) = $935.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Amgen Inc. ($255).

Total Amount

$935

General + Research + Ownership

Payments

20

Total payment records

General Amount

$935

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2015-11-30

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
I20151130001078INurse PractitionerFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes434301$0
81003Automated urinalysis test5950$0
99213Established patient office or other outpatient visit, 20-29 minutes4039$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3838$0
G0444Annual depression screening, 5 to 15 minutes3838$0
View full utilization report →

Insurance plans in this area (ZIP 32720)

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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: 1557722410View full group profile
NameSpecialtyState
Nurse PractitionerFL
Physician AssistantFL
Family PracticeFL
Family Practice, Emergency MedicineFL
Family PracticeFL
Family PracticeLA
Nurse PractitionerFL
Physician AssistantFL
Physician AssistantTX
Internal MedicineFL

Reviews

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Frequently asked questions

Is there an official ID for MARY JANE ALCANTARA VENZON (ARNP) in U.S. healthcare records?
The official identifier for MARY JANE ALCANTARA VENZON (ARNP) is NPI 1821489204.
Would MARY JANE ALCANTARA VENZON (ARNP) appear as active to a payer?
You can treat MARY JANE ALCANTARA VENZON (ARNP) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MARY JANE ALCANTARA VENZON (ARNP)?
At a glance, MARY JANE ALCANTARA VENZON (ARNP) is tied to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MARY JANE ALCANTARA VENZON (ARNP)?
Travel planning: use Deland, Florida as the reference point for MARY JANE ALCANTARA VENZON (ARNP), then confirm.
When was this NPI issued?
Enumeration for MARY JANE ALCANTARA VENZON (ARNP) is noted as February 6, 2015 where the registry provides it.

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