Randi Banner, CRNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

UP005559B Issued in PA

Practice address

1382 Newtown Langhorne Rd
Newtown, PA 18940-2401

Phone

(215) 504-6809

Fax

(215) 579-0266

NPI assigned

Jan 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Nurse Practitioner

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pennswood VillageGroup PAC ID 5496739831, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Mary Medical Center Hospital, Langhorne, PA, CCN 390258
• Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
• Pennswood Village Nursing home, Newtown, PA, CCN 395473

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EIFCAA/Endpoint/EIFCAA

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.

• Pennswood Village

  • Specialist
  • Moorestown, NJ
  • NPI 1528109428

  PA

  Medicare reassignment Care Compare group NPD
• Buxmont Medical Associates, PC

  • Family Medicine Physician
  • Warrington, PA
  • NPI 1891875456
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital of the University of PA

  • Ambulatory Fertility Facility
  • Phila, PA
  • NPI 1033262316

  Hospital

  Care Compare affiliation
• Pennswood Village

  • Skilled Nursing Facility
  • Newtown, PA
  • NPI 1831180173

  Nursing home

  Care Compare affiliation
• St Mary Medical Center

  • General Acute Care Hospital
  • Langhorne, PA
  • NPI 1780686931
  Care Compare affiliation
• Trustees of the University of Pennsylvania

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1851370910
  Care Compare affiliation

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1366413593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1382 NEWTOWN LANGHORNE RD",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189402401",
            "telephone_number": "215-504-6809",
            "fax_number": "215-579-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1382 NEWTOWN LANGHORNE RD",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189402401",
            "telephone_number": "215-504-6809",
            "fax_number": "215-579-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANNER",
        "first_name": "RANDI",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "UP005559B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra M Balsam, M.A., LMFT
• Maribelle Balzereit, RBT
• Baniewicz Physical Therapy, Inc.
• Donna M Baniewicz, PT
• James Matthew Baniewicz, PT, OCS, CERT. MDT
• Barbara M. Saracino D.O.,PC
• Melinda Rae Barch
• Sarah Barfoot, CRNP
• Glen R Barlow, DDS
• Kristin Bartell, MSW, LCSW, CCTP

• Family Medicine Physician in Newtown, PA
• Providers in Newtown, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.