MS. KELLEY ANN BANNON AUD
NPI 1023222759
Audiologist in Simi Valley, CA
About Ms. Kelley Ann Bannon Aud NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KELLEY ANN BANNON AUD (NPI 1023222759) is an individual audiologist in Simi Valley, California, licensed in California (CAAU1170) and active in the NPI registry since May 2007. She is a graduate of At Still University, Arizona School Of Dentistry & Oral Hlth (2006).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Kelley Ann Bannon Aud is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kelley Bannon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Simi Valley, CA 93065
- Reassigned Medicare billing, California enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 93065 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kelley Bannon's NPI number?
The NPI number for Kelley Bannon is 1023222759. It was assigned to this individual provider in the NPPES registry on May 10, 2007.
Where is Kelley Bannon located?
Kelley Bannon practices at 2655 1st St Ste 170, Simi Valley, CA 93065. The listed phone number is (805) 584-3327.
What is Kelley Bannon's specialty?
The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.
Is Kelley Bannon enrolled in Medicare?
Yes. Kelley Bannon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kelley Bannon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelley Bannon reassigns Medicare benefits to Decibel Hearing Services (Simi Valley, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelley Bannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kelley Bannon was last updated on June 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ms. Kelley Ann Bannon, AUD · NPI 1023222759
Audiologist provider in Simi Valley, California. Individual provider, active in the CMS NPPES registry since May 10, 2007.
## Identity
- **NPI:** 1023222759 (Entity type: Individual)
- **Enumerated:** May 10, 2007
- **Primary specialty:** Audiologist · taxonomy 231H00000X
- **State license:** CAAU1170 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2655 1ST ST STE 170, Simi Valley, CA 93065-1565
- **Phone:** (805) 584-3327 · **Fax:** (805) 584-3327
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Decibel Hearing Services (NPI 1932400538, Simi Valley, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** At Still University, Arizona School Of Dentistry & Oral Hlth, class of 2006
## Record status
- **NPPES last updated:** June 24, 2014
- **Other identifiers:** Medicare PIN WAU1170A (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1023222759) · Data from the CMS NPPES public registry.