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

Michelle Banuelos

Individual provider Physician Assistant · NPI 1467146225

Michelle Banuelos is a Physician Assistant in Mesa, Arizona. Qualified in 2024, 2 years ago. Practices with NA Vein Group LLC, a 7-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2023
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Practice location Address checks out

5850 E Still Cir
Mesa, AZ 85206-3618
Phone: (480) 219-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1467146225
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 5, 2023
Last updated in NPPESJune 5, 2023
Certification dateJune 5, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Na Vein Group Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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