SALLY ANN VILLANUEVA FNP
NPI 1427713569
Nurse Practitioner - Family in Perris, CA

Active since November 03, 2021PECOS EnrolledAccepts Medicare Assignment
1675 N PERRIS BLVD STE G1, PERRIS, CA 92571(760) 736-6767 Get Directions Write a Review

NPPES record last updated: November 10, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 10, 2022, Nov 4, 2021 (2 updates tracked since 2021).

About Sally Ann Villanueva Fnp NPPES

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

SALLY ANN VILLANUEVA FNP (NPI 1427713569) is an individual family provider in Perris, California, licensed in California (95018843) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1427713569
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSALLY ANN VILLANUEVACredential: FNP
Location Address1675 N PERRIS BLVD STE G1Perris, CA 92571-4748
Mailing Address150 Valpreda RdSan Marcos, CA 92069-2973 · (760) 736-6700
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 3, 2021
Last NPPES UpdateNovember 10, 20222 updates tracked since enumeration
NPPES CertifiedNovember 10, 2022
✔ NPI 1427713569 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 CA · 95018843
1675 N PERRIS BLVD STE G1, Perris, CA 92571

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

Sally Ann Villanueva 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 ID5294126983
PECOS Enrollment IDI20220107001220
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 Sally Villanueva reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
24853 ALESSANDRO BLVD STE 4
Moreno Valley, CA 92553
  • Reassigned Medicare billing, California enrollment
  • 119 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
651 N STATE ST
San Jacinto, CA 92583
  • Reassigned Medicare billing, California enrollment
  • 93 clinicians in this Medicare group

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 92571 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 7

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

Dentist (General Practice)
1675 N PERRIS BLVD STE G1
PERRIS, CA 92571
Nurse Practitioner (Family)
1675 N PERRIS BLVD STE G1
PERRIS, CA 92571
Clinic/Center (Federally Qualified Health Center (FQHC))
1675 N PERRIS BLVD STE G1
PERRIS, CA 92571
Marriage & Family Therapist
1675 N PERRIS BLVD STE G1
PERRIS, CA 92571
Family Medicine
1675 N PERRIS BLVD STE G1
PERRIS, CA 92571
Chiropractor
1675 N PERRIS BLVD STE G1
PERRIS, CA 92571
Nurse Practitioner (Family)
1675 N PERRIS BLVD STE G1
PERRIS, CA 92571

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 Sally Villanueva's NPI number?

The NPI number for Sally Villanueva is 1427713569. It was assigned to this individual provider in the NPPES registry on November 3, 2021.

Where is Sally Villanueva located?

Sally Villanueva practices at 1675 N Perris Blvd Ste G1, Perris, CA 92571. The listed phone number is (760) 736-6767.

What is Sally Villanueva's specialty?

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

Is Sally Villanueva enrolled in Medicare?

Yes. Sally Villanueva 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 Sally Villanueva's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sally Villanueva reassigns Medicare benefits to 2 organizations: Unicare Community Health Center Inc (Moreno Valley, CA) and Dap Health, Inc. (San Jacinto, CA). 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 Sally Villanueva's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sally Villanueva was last updated on November 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.