EMILY YANEIRI VELASQUEZ (PA-C) – Physician Assistant, NPI 1104540731

EMILY YANEIRI VELASQUEZ (PA-C) is a healthcare provider. based in Randallstown, Maryland. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for EMILY YANEIRI VELASQUEZ (PA-C) is 1104540731

Main info

Female
Sole Proprietor
Accepts Medicare Assignment
Name
EMILY YANEIRI VELASQUEZ (PA-C)
NPI
1104540731
Phone
Not provided
Address
5401 OLD COURT RD
Enumeration Date
27 September 2022
Last Update Date
27 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3015152901
Graduation Year
null (2026 years ago)
PAC ID
7911374376
Group Practice PAC ID
3870661978
Professional Enrollment ID
I20231209000708
Address ID
MD207154031BO14300LNXX403
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:3State licenses:0Digital endpointsOther names

3,366 PHYSICIAN ASSISTANT in MD

Provider Addresses for EMILY YANEIRI VELASQUEZ (PA-C)

  • 5401 OLD COURT RD

    RANDALLSTOWN, MD 211335103

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2024-06-12 • Largest payer in this snapshot: Exact Sciences Corporation ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-12

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: 2023-12-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20221028000156IPhysician AssistantMDTBD
I20231209000708IPhysician AssistantDCTBD

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 minutes3231$0
View full utilization report →

Insurance plans in this area (ZIP 21133)

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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: 3870661978View full group profile
NameSpecialtyState
Internal MedicineMD
Internal Medicine, Geriatric Medicine, Hematology/OncologyMD
Internal MedicineDC
Physician AssistantMD
Internal MedicineMD
Family PracticeVA
Nurse PractitionerMD
Nurse PractitionerMD
Physician AssistantMD
Physician AssistantMD

Reviews

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Frequently asked questions

Can I cross-check EMILY YANEIRI VELASQUEZ (PA-C) using NPI 1104540731?
NPI 1104540731 belongs to EMILY YANEIRI VELASQUEZ (PA-C); compare other details if you need extra assurance.
Would EMILY YANEIRI VELASQUEZ (PA-C) appear as active to a payer?
You can treat EMILY YANEIRI VELASQUEZ (PA-C) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with EMILY YANEIRI VELASQUEZ (PA-C)?
EMILY YANEIRI VELASQUEZ (PA-C)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Maryland is EMILY YANEIRI VELASQUEZ (PA-C) registered?
Use Randallstown, Maryland as the headline location for EMILY YANEIRI VELASQUEZ (PA-C) here.
Can I trust this NPI listing for EMILY YANEIRI VELASQUEZ (PA-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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