Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Delaney Elisabeth Provenza, PA

Individual provider Medical Physician Assistant · NPI 1750957262

Delaney Elisabeth Provenza, PA is a Physician Assistant in Winston Salem, North Carolina. Graduated from Wake Forest University School of Medicine in 2021, 5 years ago. Practices with Wake Forest University Health Sciences, a 2,621-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
5
Trained at
Wake Forest University School of Medicine
Licensed in
NC
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

500 Shepherd St Ste 300
Winston Salem, NC 27103-1633
Phone: (336) 713-7777
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-11392 (NC)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1750957262
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 3, 2021
Last updated in NPPESOctober 11, 2024
Certification dateOctober 11, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Wake Forest University Health Sciences — 2621 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Winston Salem