DENIA CANETA
NPI 1558922328
Nurse Practitioner - Family in Fresno, CA

Active since June 24, 2019PECOS EnrolledAccepts Medicare Assignment
79.72/100
CMS Quality Rating
7130 N MILLBROOK AVE, FRESNO, CA 93720(559) 326-1222(559) 326-1225 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Oct 9, 2025, Jul 30, 2024 (2 updates tracked since 2024).

About Denia Caneta NPPES

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

DENIA CANETA (NPI 1558922328) is an individual family provider in Fresno, California, licensed in California (95011794) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1558922328
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDENIA CANETA
Location Address7130 N MILLBROOK AVEFresno, CA 93720-3347
Mailing Address1510 E Herndon Ave Ste 310Fresno, CA 93720-3393 · (559) 326-1222 · Fax (559) 421-7004
Fax(559) 326-1225
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 24, 2019
Last NPPES UpdateOctober 9, 20252 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
NPI 1558922328 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 · 95011794
7130 N MILLBROOK AVE, Fresno, CA 93720

Secondary Practice Locations 2

Location 17135 N Chestnut Ave Ste 104Fresno, CA 93720-0362 · Phone (559) 447-8632 · Fax (559) 447-8872
Location 21125 E Spruce Ave Ste 103Fresno, CA 93720-3387 · Phone (559) 878-4510

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

Denia Caneta 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 ID4486083771
PECOS Enrollment IDI20200408001127
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
108 services100 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
33 services32 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93720 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.62
Promoting Interoperability100
Improvement Activities40
Cost50.78

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Hematology & Oncology)
7130 N MILLBROOK AVE
FRESNO, CA 93720
Nurse Practitioner (Family)
7130 N MILLBROOK AVE
FRESNO, CA 93720
Internal Medicine (Hematology & Oncology)
7130 N MILLBROOK AVE, SUITE 100
FRESNO, CA 93720
Surgery
7130 N MILLBROOK AVE
FRESNO, CA 93720
Social Worker (Clinical)
7130 N MILLBROOK AVE
FRESNO, CA 93720
Physician Assistant
7130 N MILLBROOK AVE
FRESNO, CA 93720
Nurse Practitioner
7130 N MILLBROOK AVE
FRESNO, CA 93720
Internal Medicine (Hematology & Oncology)
7130 N MILLBROOK AVE
FRESNO, CA 93720

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 Denia Caneta's NPI number?

The NPI number for Denia Caneta is 1558922328. It was assigned to this individual provider in the NPPES registry on June 24, 2019.

Where is Denia Caneta located?

Denia Caneta practices at 7130 N Millbrook Ave, Fresno, CA 93720. The listed phone number is (559) 326-1222.

What is Denia Caneta's specialty?

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

Is Denia Caneta enrolled in Medicare?

Yes. Denia Caneta 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 Denia Caneta was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.