STEPHANIE VELASQUEZ (MD) – Family Medicine Physician, NPI 1225787542

STEPHANIE VELASQUEZ (MD) is a healthcare provider. based in Las vegas, Nevada. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 27777 (NV). The NPI Number for STEPHANIE VELASQUEZ (MD) is 1225787542

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE VELASQUEZ (MD)
NPI
1225787542
Phone
(408) 466-0868
Address
6500 Vegas Dr
Enumeration Date
23 March 2022
Last Update Date
13 February 2026

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Secondary Phone
7252208477
Graduation Year
2022 (4 years ago)
PAC ID
9830571538
Group Practice PAC ID
5092132340
Professional Enrollment ID
I20250807004438
Address ID
NV890157417HE390XXPKWY501

Contacts

Secure Messaging
stephanie.velasquez.1@29601.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness95
Years active:4State licenses:1Other names

992 FAMILY PRACTICE in NV

Provider Addresses for STEPHANIE VELASQUEZ (MD)

  • 6500 Vegas Dr

    Las Vegas, NV 891087707

    Phone: (408) 466-0868

    Type: Location

  • 1701 W CHARLESTON BLVD STE 590

    LAS VEGAS, NV 891022396

    Phone:

    Type: Mailing

  • 6101 BLUE LAGOON DR STE 200

    MIAMI, FL 331263168

    Phone:

    Type: Mailing

  • 390 W LAKE MEAD PKWY STE 120

    HENDERSON, NV 890157417

    Phone: (725) 220-8477

    Fax: (833) 749-0360

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $272.

Total Amount is formed as General ($272) + Research ($0) + Ownership ($0) = $272.

Last reported payment date: 2024-07-16 • Largest payer in this snapshot: ViiV Healthcare Company ($147).

Total Amount

$272

General + Research + Ownership

Payments

2

Total payment records

General Amount

$272

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-16

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: 2025-08-07

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
I20250807004438IFamily PracticeNVTBD

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 89108)

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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: 5092132340View full group profile
NameSpecialtyState
Clinical Social WorkerNV
Nurse PractitionerNV
Internal MedicineFL
Internal MedicineMD
Family PracticeNV
Nurse PractitionerFL
Internal MedicineNV
Family PracticeNV
Cardiovascular Disease (Cardiology)FL
Internal MedicineNV

Reviews

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Frequently asked questions

What is the 10-digit NPI for STEPHANIE VELASQUEZ (MD)?
STEPHANIE VELASQUEZ (MD) — NPI 1225787542 — is the standard way to identify this listing.
Is STEPHANIE VELASQUEZ (MD) listed as active for patients and plans?
The listing shows STEPHANIE VELASQUEZ (MD) as active in the NPI system.
What taxonomy line describes STEPHANIE VELASQUEZ (MD)?
For research purposes, treat STEPHANIE VELASQUEZ (MD) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for STEPHANIE VELASQUEZ (MD)?
STEPHANIE VELASQUEZ (MD)'s geographic hint is Las Vegas, Nevada in our summary view.
Why does STEPHANIE VELASQUEZ (MD) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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