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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RAIZZA QUEEN BANIQUED ACODE FNP-BC, NP-C
NPI 1245052018
Nurse Practitioner in North Hollywood, CA

Active since October 31, 2024PECOS Enrolled
11633 VICTORY BLVD STE 100, NORTH HOLLYWOOD, CA 91606(888) 530-4415(833) 471-5322 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Raizza Queen Baniqued Acode Fnp-bc, Np-c NPPES

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

RAIZZA QUEEN BANIQUED ACODE FNP-BC, NP-C (NPI 1245052018) is an individual nurse practitioner in North Hollywood, California, licensed in California (95032745) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1245052018
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameRAIZZA QUEEN BANIQUED ACODECredential: FNP-BC, NP-C
Location Address11633 VICTORY BLVD STE 100North Hollywood, CA 91606-3513
Mailing Address11633 Victory Blvd Ste 100North Hollywood, CA 91606-3513 · (888) 530-4415 · Fax (833) 471-5322
Phone(888) 530-4415
Fax(833) 471-5322
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 31, 2024
Last NPPES UpdateJuly 29, 2026
NPPES CertifiedJuly 29, 2026
✔ NPI 1245052018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95032745
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
11633 VICTORY BLVD STE 100, North Hollywood, CA 91606
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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 (PECOS)

Raizza Queen Baniqued Acode Fnp-bc, Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850805268
PECOS Enrollment IDI20250708003792
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 91606 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 3

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

KELSEY LAWRENCE OTR/L
Occupational Therapist
11633 VICTORY BLVD STE 100
NORTH HOLLYWOOD, CA 91606
Los Angeles County (818) 835-2880
ARMEN ISAIANTS M.D.
Internal Medicine
11633 VICTORY BLVD STE 100
NORTH HOLLYWOOD, CA 91606
Los Angeles County (888) 530-4415
SONIA GRAY NP
Nurse Practitioner (Family)
11633 VICTORY BLVD STE 100
NORTH HOLLYWOOD, CA 91606
Los Angeles County (818) 833-2880

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 Raizza Queen Acode's NPI number?

The NPI number for Raizza Queen Acode is 1245052018. It was assigned to this individual provider in the NPPES registry on October 31, 2024.

Where is Raizza Queen Acode located?

Raizza Queen Acode practices at 11633 Victory Blvd Ste 100, North Hollywood, CA 91606. The listed phone number is (888) 530-4415.

What is Raizza Queen Acode's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Raizza Queen Acode enrolled in Medicare?

Yes. Raizza Queen Acode is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Raizza Queen Acode was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.