ROBINITA AMBRIZ VELASQUEZ (PA-C) – Physician Assistant, NPI 1184351702

ROBINITA AMBRIZ VELASQUEZ (PA-C) is a healthcare provider. based in Pocatello, Idaho. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA3100 (NV). The NPI Number for ROBINITA AMBRIZ VELASQUEZ (PA-C) is 1184351702

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
ROBINITA AMBRIZ VELASQUEZ (PA-C)
NPI
1184351702
Phone
(208) 282-4726
Address
921 S 8TH AVE STOP 8253
Enumeration Date
3 August 2022
Last Update Date
31 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7757484826
Graduation Year
2024 (2 years ago)
PAC ID
9537694187
Group Practice PAC ID
7214822030
Professional Enrollment ID
I20241120000818
Address ID
NV898018334EL1993XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,531 PHYSICIAN ASSISTANT in ID

Provider Addresses for ROBINITA AMBRIZ VELASQUEZ (PA-C)

  • 921 S 8TH AVE STOP 8253

    POCATELLO, ID 832090002

    Phone: (208) 282-4726

    Type: Mailing

  • 1993 ERRECART BLVD

    ELKO, NV 898018334

    Phone: (775) 753-1049

    Type: Location

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: 2024-11-20

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
I20241120000818IPhysician AssistantNVTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83209)

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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: 7214822030View full group profile
NameSpecialtyState
Family PracticeNV
Physician AssistantNV
Physician AssistantCO
-CA
Family Practice, Sports MedicineWY
Nurse PractitionerNV
Nurse PractitionerUT
Family PracticeNE
Family PracticeNV
Nurse PractitionerNM

Reviews

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Frequently asked questions

What NPI should I save for ROBINITA AMBRIZ VELASQUEZ (PA-C)?
Save NPI 1184351702 if you need a stable reference for ROBINITA AMBRIZ VELASQUEZ (PA-C).
Does this profile mean ROBINITA AMBRIZ VELASQUEZ (PA-C) is currently active?
Yes — ROBINITA AMBRIZ VELASQUEZ (PA-C) appears active in the national provider directory.
What field does ROBINITA AMBRIZ VELASQUEZ (PA-C) work in?
You can think of ROBINITA AMBRIZ VELASQUEZ (PA-C) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is ROBINITA AMBRIZ VELASQUEZ (PA-C)'s primary listing?
We display Pocatello, Idaho because that is what the record indicates for ROBINITA AMBRIZ VELASQUEZ (PA-C).
What if Pocatello, Idaho seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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