NPIMap

Individual provider Active NPI

Susan Deborah Banning, CNP

  • Family Nurse Practitioner
  • Maumee, OH
National Provider Identifier
1407126980
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.12761-NP Issued in OH
Practice address
5757 Monclova Rd Ste 26
Maumee, OH 43537-1863
Phone
(419) 893-5557
Fax
(419) 424-3870
NPI assigned
Dec 30, 2011
Last updated
Jul 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.12761-NP OH Primary

Addresses

Primary practice location

5757 Monclova Rd Ste 26
Maumee, OH 43537-1863

Mailing address

5757 Monclova Rd Ste 26
Maumee, OH 43537-1863
Phone (419) 893-5557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120323000042 OH Practitioner - Nurse Practitioner 7012177389 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curana Health of OhioGroup PAC ID 3375924301, 51 clinicians
Hospital Medicine Services of Ohio, Inc.Group PAC ID 6103997747, 33 clinicians
Preferred Physician Services of Ohio LLCGroup PAC ID 7315328069, 66 clinicians

Practice addresses (Care Compare)

3239 Jefferson Ave
Suite 1
Cincinnati, OH 45220-2270
Phone 99799192769276

45 St Lawrence Dr
Tiffin, OH 44883-8310
Phone (419) 455-7000

9200 Worthington Rd
Suite 300
Westerville, OH 43082-7240
Phone (337) 991-9276

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA.12761-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NW Ohio Hospital Medicine Physicians LLC CurrentSince Jan 28, 2026 Accepting new patients
Hospital Medicine Services of Ohio, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Emergency Professional Services, Inc. Family CurrentSince Sep 12, 2025 Accepting new patients
Preferred Physician Services of Ohio LLC CurrentSince Sep 13, 2023 Accepting new patients
Kingston Care Partners, LLC CurrentSince Aug 9, 2023 Accepting new patients
Curana Health of Ohio CurrentSince Sep 13, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

950 W Wooster St
Bowling Green, OH 43402
Phone (419) 354-8900

3239 Jefferson Ave
Ste 1
Cincinnati, OH 45220
Phone (997) 991-9276

5757 Monclova Rd
Ste 26
Maumee, OH 43537
Phone (419) 872-7770

1120 Dunaway St
Miamisburg, OH 45342
Phone (937) 307-5949

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

4121 King Rd
Sylvania, OH 43560
Phone (419) 517-8200

45 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-1900

3366 Riverside Dr
Ste 103
Upper Arlington, OH 43221
Phone (617) 958-5697

9200 Worthington Rd
Ste 300
Westerville, OH 43082
Phone (614) 888-7800

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: sbanning12878@direct.promedica.org

Organizations & group practices 8

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

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1407126980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 MONCLOVA RD STE 26",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371863",
            "telephone_number": "419-893-5557",
            "fax_number": "419-893-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 MONCLOVA RD STE 26",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371863",
            "telephone_number": "419-893-5557",
            "fax_number": "419-424-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANNING",
        "first_name": "SUSAN",
        "middle_name": "DEBORAH",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-30",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.12761-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

Verify at the official NPI Registry.