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SANDRA BENAVIDES-VAELLO APRN, FNP
NPI 1265100481
Nurse Practitioner in Tieton, WA

Active since September 01, 2021PECOS EnrolledAccepts Medicare Assignment
915 WISCONSIN AVE, TIETON, WA 98947(509) 673-0044(509) 452-5224 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 17, 2024, Nov 4, 2022 (2 updates tracked since 2022).

About Sandra Benavides-vaello Aprn, Fnp NPPES

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

SANDRA BENAVIDES-VAELLO APRN, FNP (NPI 1265100481) is an individual nurse practitioner in Tieton, Washington, licensed in Washington (AP61315689) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Yakima Valley Memorial, and maintains a secondary practice location in Yakima.

NPPES Registry Identity

NPI1265100481
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSANDRA BENAVIDES-VAELLOCredential: APRN, FNP
Location Address915 WISCONSIN AVETieton, WA 98947-9802
Mailing Address501 S 5th AveYakima, WA 98902-3550 · (509) 853-1082 · Fax (509) 573-6275
Phone(509) 673-0044
Fax(509) 452-5224
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 1, 2021
Last NPPES UpdateJuly 17, 20242 updates tracked since enumeration
NPPES CertifiedJuly 17, 2024
✔ NPI 1265100481 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 WA · AP61315689
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.
915 WISCONSIN AVE, Tieton, WA 98947
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Other Names 1

Professional Name (2)Sandra Benavides-vaello Rn, Phd

Secondary Practice Location 1

Location 1602 E Nob Hill BlvdYakima, WA 98901-3534 · Phone (509) 248-3334 · Fax (509) 453-6144

Other Identifiers 1

Medicaid2224325WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Sandra Benavides-vaello Aprn, Fnp 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 ID8325416670
PECOS Enrollment IDI20221117002975
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 Sandra Benavides-vaello reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Yakima Valley Farm Workers Clinic
11 mi
Federally Qualified Health Center (FQHC)
5109 SUMMITVIEW AVE
Yakima, WA 98908
  • Reassigned Medicare billing, Washington enrollment
  • 252 clinicians in this Medicare group
NPI 1902532070 (509) 865-6175
Community Health Of Central Washington
14 mi
Federally Qualified Health Center (FQHC)
501 S 5TH AVE
Yakima, WA 98902
  • Reassigned Medicare billing, Washington enrollment
  • 150 clinicians in this Medicare group
NPI 1598764920 (509) 494-6700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Yakima Valley Memorial

Acute Care Hospitals · Yakima, WA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500036
Location2811 Tieton DriveYakima, WA 98902 · Yakima County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98947 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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 2

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

ONYINYE IJEOMA AMANARI ARNP
Nurse Practitioner (Family)
915 WISCONSIN AVE
TIETON, WA 98947
Yakima County (509) 673-0044
JENNIFER LAURA BROADT PA
Physician Assistant
915 WISCONSIN AVE
TIETON, WA 98947
Yakima County (509) 673-0044

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 Sandra Benavides-vaello's NPI number?

The NPI number for Sandra Benavides-vaello is 1265100481. It was assigned to this individual provider in the NPPES registry on September 1, 2021. The provider is also known as Sandra Benavides-Vaello Rn, Phd.

Where is Sandra Benavides-vaello located?

Sandra Benavides-vaello practices at 915 Wisconsin Ave, Tieton, WA 98947. The listed phone number is (509) 673-0044.

What is Sandra Benavides-vaello's specialty?

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

Is Sandra Benavides-vaello enrolled in Medicare?

Yes. Sandra Benavides-vaello 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 Sandra Benavides-vaello's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Benavides-vaello reassigns Medicare benefits to 2 organizations: Yakima Valley Farm Workers Clinic (Yakima, WA) and Community Health Of Central Washington (Yakima, WA). 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 Sandra Benavides-vaello's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandra Benavides-vaello accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Sandra Benavides-vaello 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 Sandra Benavides-vaello affiliated with any hospitals?

According to CMS data, Sandra Benavides-vaello is affiliated with Yakima Valley Memorial.

When was this NPI record last updated?

The NPPES record for Sandra Benavides-vaello was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.