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DR. VANESSA ESTELA BILLINGSLEY MD
NPI 1063076420
Family Medicine in Gainesville, FL

Active since April 30, 2019PECOS EnrolledAccepts Medicare Assignment
85.1/100
CMS Quality Rating
3951 NW 48TH TER STE 101, GAINESVILLE, FL 32606(352) 265-5230(352) 265-5231 Get Directions Write a Review

NPPES record last updated: November 2, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 2, 2022, Apr 30, 2019 (2 updates tracked since 2019).

About Dr. Vanessa Estela Billingsley Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. VANESSA ESTELA BILLINGSLEY MD (NPI 1063076420) is an individual family medicine provider in Gainesville, Florida, licensed in Florida (ME154288) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Uf Health Shands Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1063076420
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. VANESSA ESTELA BILLINGSLEYCredential: MD
Location Address3951 NW 48TH TER STE 101Gainesville, FL 32606-7229
Mailing Address3951 Nw 48th Ter Ste 101Gainesville, FL 32606-7229 · (352) 265-5230 · Fax (352) 265-5231
Phone(352) 265-5230
Fax(352) 265-5231
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 30, 2019
Last NPPES UpdateNovember 2, 20222 updates tracked since enumeration
NPPES CertifiedNovember 2, 2022
✔ NPI 1063076420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME154288
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3951 NW 48TH TER STE 101, Gainesville, FL 32606
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

Dr. Vanessa Estela Billingsley Md 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.

PECOS PAC ID4284963877
PECOS Enrollment IDI20220711003317
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Vanessa Billingsley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Shands Teaching Hospital And Clinics Inc
Same address
Primary Care
3951 NW 48TH TER, STE 101
Gainesville, FL 32606
  • Reassigned Medicare billing, Florida enrollment
  • 31 clinicians in this Medicare group
NPI 1184723777 (352) 265-5230
Florida Clinical Practice Association Inc
4.6 mi
Surgery
1600 SW ARCHER RD
Gainesville, FL 32610
  • Reassigned Medicare billing, Florida enrollment
  • 3,324 clinicians in this Medicare group
NPI 1063463768 (352) 265-7922

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 10

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
318 services169 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
75 services75 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
58 services48 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
50 services37 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
43 services42 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
41 services41 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Uf Health Shands Hospital

Acute Care Hospitals · Gainesville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100113
Location1600 SW Archer RdGainesville, FL 32610 · Alachua County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32606 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.33
Promoting Interoperability100
Improvement Activities40
Cost70

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 Vanessa Billingsley's NPI number?

The NPI number for Vanessa Billingsley is 1063076420. It was assigned to this individual provider in the NPPES registry on April 30, 2019.

Where is Vanessa Billingsley located?

Vanessa Billingsley practices at 3951 NW 48th Ter Ste 101, Gainesville, FL 32606. The listed phone number is (352) 265-5230.

What is Vanessa Billingsley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Vanessa Billingsley enrolled in Medicare?

Yes. Vanessa Billingsley 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 organizations bill Medicare for Vanessa Billingsley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vanessa Billingsley reassigns Medicare benefits to 2 organizations: Shands Teaching Hospital And Clinics Inc (Gainesville, FL) and Florida Clinical Practice Association Inc (Gainesville, FL). Each 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 Vanessa Billingsley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vanessa Billingsley accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 2 other insurers list Vanessa Billingsley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Vanessa Billingsley affiliated with any hospitals?

According to CMS data, Vanessa Billingsley is affiliated with Uf Health Shands Hospital.

When was this NPI record last updated?

The NPPES record for Vanessa Billingsley was last updated on November 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.