Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Krisandra Banet

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043849391

Krisandra Banet is a Physician Assistant in Urbana, Illinois. Qualified in 2018, 8 years ago. Practices with Vitalskin Medical Group Il PLLC, a 56-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
8
Licensed in
IN
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1111 W Kenyon Rd Ste B
Urbana, IL 61801-1006
Phone: (217) 729-7657
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10003208A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1043849391
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 7, 2020
Last updated in NPPESJune 1, 2023
Certification dateJune 1, 2023
Mailing address2857 Charlestown Rd Ste 100, New Albany, IN 47150-1998

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Vitalskin Medical Group Il Pllc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Urbana