ALLISON MICHELLE KANAVALOV FNP-C
NPI 1790554855
Nurse Practitioner - Family in Bakersfield, CA

Q: What is Allison Kanavalov's NPI number?

The NPI number for Allison Kanavalov is 1790554855. It was assigned to this individual provider in the NPPES registry on December 29, 2023.

Q: What is Allison Kanavalov'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 Allison Kanavalov was last updated on December 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 29, 2023PECOS EnrolledAccepts Medicare Assignment

815 DR MARTIN LUTHER KING JR BLVD, BAKERSFIELD, CA 93307(661) 322-3905 Get Directions Write a Review

NPPES record last updated: December 29, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Allison Michelle Kanavalov Fnp-c NPPES

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

ALLISON MICHELLE KANAVALOV FNP-C (NPI 1790554855) is an individual family provider in Bakersfield, California, licensed in California (95027913) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1790554855

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameALLISON MICHELLE KANAVALOVCredential: FNP-C

Location Address815 DR MARTIN LUTHER KING JR BLVDBakersfield, CA 93307-9901

Mailing Address815 Dr Martin Luther King Jr BlvdBakersfield, CA 93307-9901 · (661) 322-3905

Phone(661) 322-3905

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateDecember 29, 2023

NPPES CertifiedDecember 29, 2023

✔ NPI 1790554855 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 · 95027913

815 DR MARTIN LUTHER KING JR BLVD, Bakersfield, CA 93307

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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

Allison Michelle Kanavalov Fnp-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 ID2668825837

PECOS Enrollment IDI20240124003564

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93307 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

$91.09 typical visit price

range $59.26 – $178.09

Typical copayment $22.77 (range $14.81 – $44.52)

Most-billed visit code 99203

Established Patient

$104.09 typical visit price

range $19.34 – $145.64

Typical copayment $26.02 (range $4.83 – $36.41)

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 20

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

LILITH IDEA MD

Pediatrics