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YADIRA SANTIAGO BANUELOS MSN, RN, FNP-BC
NPI 1336624501
Nurse Practitioner - Family in Monon, IN

Active since October 03, 2018PECOS EnrolledAccepts Medicare Assignment
629 E BROADWAY ST, MONON, IN 46923(877) 797-2404(877) 727-7640 Get Directions Write a Review

NPPES record last updated: October 3, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Yadira Santiago Banuelos Msn, Rn, Fnp-bc NPPES

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

YADIRA SANTIAGO BANUELOS MSN, RN, FNP-BC (NPI 1336624501) is an individual family provider in Monon, Indiana, licensed in Indiana (71008418A) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1336624501
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameYADIRA SANTIAGO BANUELOSCredential: MSN, RN, FNP-BC
Location Address629 E BROADWAY STMonon, IN 46923
Mailing Address6125 Gallegos DrWest Lafayette, IN 47906-5798 · (765) 714-7205
Phone(877) 797-2404
Fax(877) 727-7640
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 3, 2018
✔ NPI 1336624501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 71008418A
629 E BROADWAY ST, Monon, IN 46923
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Yadira Santiago Banuelos Msn, Rn, Fnp-bc 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 ID7012339369
PECOS Enrollment IDI20230926001725
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 Reassignment

Medicare enrollment records show Yadira Santiago Banuelos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Trustees Of Purdue University
0.9 mi
Federally Qualified Health Center (FQHC)
692 E BROADWAY ST
Monon, IN 47959
  • Reassigned Medicare billing, Indiana enrollment
  • 45 clinicians in this Medicare group
NPI 1871794826 (877) 797-2404

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46923 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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 Yadira Santiago Banuelos's NPI number?

The NPI number for Yadira Santiago Banuelos is 1336624501. It was assigned to this individual provider in the NPPES registry on October 3, 2018.

Where is Yadira Santiago Banuelos located?

Yadira Santiago Banuelos practices at 629 E Broadway St, Monon, IN 46923. The listed phone number is (877) 797-2404.

What is Yadira Santiago Banuelos's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Yadira Santiago Banuelos enrolled in Medicare?

Yes. Yadira Santiago 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.

Which organization bills Medicare for Yadira Santiago Banuelos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yadira Santiago Banuelos reassigns Medicare benefits to Trustees Of Purdue University (Monon, IN). 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 Yadira Santiago Banuelos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Yadira Santiago Banuelos accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and UnitedHealthcare list Yadira Santiago Banuelos 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.

When was this NPI record last updated?

The NPPES record for Yadira Santiago Banuelos was last updated on October 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.