Lisa M. Banuelos, NP
NPI 1144013616ActiveIndividual· Nurse Practitioner, Primary Care· Vallejo, CA
Nurse Practitioner, Primary Care (NP) with Sutter Valley Medical Foundation, practicing in Vallejo, California. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1144013616 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | May 27, 2025 |
| Last updated in NPPES | May 27, 2025 |
| Certified by provider | May 27, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | 95290679 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (CA) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Sutter Valley Medical FoundationModesto, CA · 2,500 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other primary care nurse practitioners in Vallejo
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