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LISA M BANUELOS NP
NPI 1144013616
Nurse Practitioner - Primary Care in Vallejo, CA

Active since May 27, 2025PECOS EnrolledAccepts Medicare Assignment
100 HOSPITAL DR FL 2, VALLEJO, CA 94589(707) 427-4900 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa M Banuelos Np NPPES

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

LISA M BANUELOS NP (NPI 1144013616) is an individual primary care provider in Vallejo, California, licensed in California (95290679) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1144013616
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameLISA M BANUELOSCredential: NP
Location Address100 HOSPITAL DR FL 2Vallejo, CA 94589-2580
Mailing Address1318 Thrasher WaySuisun City, CA 94585-3019 · (707) 246-9954
Phone(707) 427-4900
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 27, 2025
NPPES CertifiedMay 27, 2025
✔ NPI 1144013616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in CA · 95290679
100 HOSPITAL DR FL 2, Vallejo, CA 94589
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa M Banuelos Np 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 ID4385139716
PECOS Enrollment IDI20251223000872
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94589 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
$98.85 typical visit price
range $65.02 – $191.95
Typical copayment $24.71 (range $16.25 – $47.98)
Most-billed visit code 99203
Established Patient
$113.05 typical visit price
range $21.86 – $157.69
Typical copayment $28.26 (range $5.46 – $39.42)
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LAURA BOYD M.D.
Pediatrics
100 HOSPITAL DR FL 2
VALLEJO, CA 94589
Napa County (707) 427-4900

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 Lisa Banuelos's NPI number?

The NPI number for Lisa Banuelos is 1144013616. It was assigned to this individual provider in the NPPES registry on May 27, 2025.

Where is Lisa Banuelos located?

Lisa Banuelos practices at 100 Hospital Dr Fl 2, Vallejo, CA 94589. The listed phone number is (707) 427-4900.

What is Lisa Banuelos's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Lisa Banuelos enrolled in Medicare?

Yes. Lisa Banuelos 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.

When was this NPI record last updated?

The NPPES record for Lisa Banuelos was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.