KELLY C BANONIS NP
NPI 1790395531
Nurse Practitioner - Family in Victoria, TX

Q: What is Kelly Banonis's NPI number?

The NPI number for Kelly Banonis is 1790395531. It was assigned to this individual provider in the NPPES registry on August 6, 2020.

Q: What is Kelly Banonis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Banonis was last updated on August 1, 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.

Active since August 06, 2020PECOS EnrolledAccepts Medicare Assignment

605 E SAN ANTONIO ST STE 510E, VICTORIA, TX 77901(361) 576-9342 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 1, 2024, Jul 2, 2024, Aug 6, 2020 (3 updates tracked since 2020).

On this page

About Kelly C Banonis Np NPPES

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

KELLY C BANONIS NP (NPI 1790395531) is an individual family provider in Victoria, Texas, licensed in Texas (1112632) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, is affiliated with De Tar Hospital Navarro, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1790395531

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKELLY C BANONISCredential: NP

Location Address605 E SAN ANTONIO ST STE 510EVictoria, TX 77901-6011

Mailing Address605 E San Antonio St Ste 510eVictoria, TX 77901-6011 · (361) 788-6003 · Fax (361) 788-6074

Phone(361) 576-9342

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateAugust 6, 2020

Last NPPES UpdateAugust 1, 20243 updates tracked since enumeration

NPPES CertifiedAugust 1, 2024

✔ NPI 1790395531 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

Licenses✔ Licensed in TX · 1112632✔ Licensed in AZ · 245540

605 E SAN ANTONIO ST STE 510E, Victoria, TX 77901

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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

Kelly C Banonis Np 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 ID8527486984

PECOS Enrollment IDI20231111000293

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.

Hospital Affiliations CMS Care Compare 2

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

De Tar Hospital Navarro

Acute Care Hospitals · Victoria, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450147

Location506 E San Antonio StVictoria, TX 77901 · Victoria County

Emergency services Birthing friendly

Memorial Medical Center

Critical Access Hospitals · Port Lavaca, TX

OwnershipGovernment - Local

CMS Certification Number451356

Location701 N Virginia StPort Lavaca, TX 77979 · Calhoun County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77901 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 3

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

DR. TANWEER HUSSAIN MAJID M.D.

Surgery

605 E SAN ANTONIO ST STE 510E
VICTORIA, TX 77901

Victoria County (361) 576-9342

ALAYNA KUTACH FNP-C

Nurse Practitioner (Family)

605 E SAN ANTONIO ST STE 510E
VICTORIA, TX 77901

Victoria County (361) 576-9342

DR. MARK TULLOS M.D.

Surgery

605 E SAN ANTONIO ST STE 510E
VICTORIA, TX 77901

Victoria County (361) 576-9342

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 Kelly Banonis's NPI number?

The NPI number for Kelly Banonis is 1790395531. It was assigned to this individual provider in the NPPES registry on August 6, 2020.

Where is Kelly Banonis located?

Kelly Banonis practices at 605 E San Antonio St Ste 510E, Victoria, TX 77901. The listed phone number is (361) 576-9342.

What is Kelly Banonis's specialty?

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

Is Kelly Banonis enrolled in Medicare?

Yes. Kelly Banonis 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.

What insurance does Kelly Banonis accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Kelly Banonis 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 Kelly Banonis affiliated with any hospitals?

According to CMS data, Kelly Banonis is affiliated with De Tar Hospital Navarro and Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Kelly Banonis was last updated on August 1, 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.