Jennifer Leigh Banner, ARNP
Individual provider Active NPI Family Nurse Practitioner · Trenton, FL
NPI 1043590763 · NPPES record last updated Sep 17, 2024
Key facts
- NPI
- 1043590763
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- ARNP9183739 (FL)
- Practice address
- 103 SE 3Rd St
Trenton, FL 32693-3247 - Phone
- (352) 577-5252
- Fax
- (888) 522-4631
- NPI assigned
- Aug 25, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Andrews Healthcare Consulting
Practice addresses (Care Compare)
103 SE 3Rd St
Trenton, FL 32693-3247
7284 SW Sr
26 Tri County Internal Medicine and Family PR
Trenton, FL 32693-5882
Phone (352) 577-5252
7284 SW Sr
Suite 26
Trenton, FL 32693-5131
Hospital & facility affiliations
- Concierge Home Care
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111227000285 | FL | Practitioner - Nurse Practitioner | 8527234434 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9183739 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrews Healthcare Consulting | Family | Current |
Accepting new patients |
Locations
103 SE 3rd St
Trenton, FL 32693
Phone (352) 577-5252
7284 SW State Road 26
Trenton, FL 32693
Phone (352) 463-1222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN9183739 | FL | |
| Family Nurse Practitioner | 363LF0000X | ARNP9183739 | FL | Yes |
Addresses
Primary practice location
103 SE 3Rd St
Trenton, FL 32693-3247
Mailing address
103 SE 3Rd St
Trenton, FL 32693-3247
Phone (352) 577-5252
Other names
- Mrs. Jennifer Banner Cassisi
Other providers in Trenton, FL
- Logan Andrews
- Rebecca Hope Arrington
- Ayers Health & Rehabilitation Center, LLC
- Ayers Lessee LLC
- Sheila M Bair
- Tracy R Bell
- Bio-Medical Applications of Florida, Inc.
- Lauren M Blount
- Sarah Bradshaw
- Dawn Rachelle Brown
All providers in Trenton, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.