VANESSA AMANDA BANALES PA-C
NPI 1659043768
Physician Assistant in Visalia, CA

Active since September 28, 2021PECOS EnrolledAccepts Medicare Assignment
85/100
CMS Quality Rating
231 E CALDWELL AVE, VISALIA, CA 93277(559) 622-9800 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2025, Jul 17, 2024, Dec 1, 2021 and 1 more (4 updates tracked since 2021).

About Vanessa Amanda Banales Pa-c NPPES

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

VANESSA AMANDA BANALES PA-C (NPI 1659043768) is an individual physician assistant in Visalia, California, licensed in California (60240) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1659043768
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameVANESSA AMANDA BANALESCredential: PA-C
Location Address231 E CALDWELL AVEVisalia, CA 93277-7605
Mailing Address2625 E Divisadero StFresno, CA 93721-1431 · (559) 443-2682 · Fax (559) 443-2681
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 28, 2021
Last NPPES UpdateJuly 8, 20254 updates tracked since enumeration
NPPES CertifiedJuly 8, 2025
NPI 1659043768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · 60240
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
231 E CALDWELL AVE, Visalia, CA 93277

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

Vanessa Amanda Banales Pa-c 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 ID7911396197
PECOS Enrollment IDI20211109001854
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.
144 services120 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
25 services24 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.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93277 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
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
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.

85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.33
Promoting Interoperability100
Improvement Activities40
Cost45.02

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
231 E CALDWELL AVE
VISALIA, CA 93277
Nurse Practitioner (Family)
231 E CALDWELL AVE
VISALIA, CA 93277
Nurse Practitioner (Family)
231 E CALDWELL AVE
VISALIA, CA 93277
Clinic/Center (Primary Care)
231 E CALDWELL AVE
VISALIA, CA 93277

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 Vanessa Banales's NPI number?

The NPI number for Vanessa Banales is 1659043768. It was assigned to this individual provider in the NPPES registry on September 28, 2021.

Where is Vanessa Banales located?

Vanessa Banales practices at 231 E Caldwell Ave, Visalia, CA 93277. The listed phone number is (559) 622-9800.

What is Vanessa Banales's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Vanessa Banales enrolled in Medicare?

Yes. Vanessa Banales 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 Vanessa Banales was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.