Individual provider Active NPI

Yewande Banire, FNP-C

  • Family Nurse Practitioner
  • St Charles, IL
National Provider Identifier
1154072817
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277005667 Issued in IL
Practice address
40W222 Lafox Rd
St Charles, IL 60175-7625
Phone
(312) 646-8086
Fax
(630) 402-6683
NPI assigned
Jan 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041414001 IL
Family Nurse Practitioner 363LF0000X 277005667 IL Primary

Addresses

Primary practice location

40W222 Lafox Rd
St Charles, IL 60175-7625

Mailing address

40W222 Lafox Rd
St Charles, IL 60175-7625
Phone (630) 402-6627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260526003335 IL Practitioner - Nurse Practitioner 4981174497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

21208 Waymouth Run
Estero, FL 33928-3243

2436 Prairie Crossing Dr
Montgomery, IL 60538-4057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041414001ILMDRegistered Nurse
029029249ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Serene Infusion and Wellness Lounge LLC Family Current Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1154072817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40W222 LAFOX RD",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601757625",
            "telephone_number": "630-402-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40W222 LAFOX RD",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601757625",
            "telephone_number": "312-646-8086",
            "fax_number": "630-402-6683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANIRE",
        "first_name": "YEWANDE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-14",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041414001",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277005667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

Verify at the official NPI Registry.