NPIMap

Individual provider Active NPI

Lorraine L Banko, CRNP

  • Family Nurse Practitioner
  • Scranton, PA
National Provider Identifier
1588856678
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP0009476 Issued in PA
Practice address
746 Jefferson Ave
Suite 305
Scranton, PA 18510-1624
Phone
(570) 342-1776
Fax
(570) 963-0663
NPI assigned
Aug 14, 2007
Last updated
Aug 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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 SP0009476 PA Primary

Addresses

Primary practice location

746 Jefferson Ave
Suite 305
Scranton, PA 18510-1624

Mailing address

746 Jefferson Ave
Suite 305
Scranton, PA 18510-1624
Phone (570) 342-1776

Other identifiers 1

IdentifierTypeStateIssuer
SP009476OtherPACRNP LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lorraine.banko.1@21771.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20120413000267 PA Practitioner - Nurse Practitioner 1759542079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scranton Cardiovascular Physician Services LLCGroup PAC ID 6204097975, 17 clinicians

Practice addresses (Care Compare)

677 Roosevelt Hwy
Waymart, PA 18472-3117
Phone (570) 488-9930

743 Jefferson Ave
Suite 305
Scranton, PA 18510-1639
Phone (570) 342-1776

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.17 of 100Reported as apm
Quality
78.34
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP0009476PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Scranton Cardiovascular Physician Services LLC CurrentSince Mar 1, 2012 Accepting new patients
Great Valley Cardiology Associates Past Accepting new patients

Locations

746 Jefferson Ave
Ste 305
Scranton, PA 18510
Phone (570) 342-1776

Interoperability endpoints

  • Direct secure messaging: lorraine.banko.1@21771.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1588856678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "746 JEFFERSON AVE",
            "address_2": "SUITE 305",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101624",
            "telephone_number": "570-342-1776",
            "fax_number": "570-963-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "746 JEFFERSON AVE",
            "address_2": "SUITE 305",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101624",
            "telephone_number": "570-342-1776",
            "fax_number": "570-963-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKO",
        "first_name": "LORRAINE",
        "middle_name": "L",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP0009476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRNP LICENSE",
            "identifier": "SP009476",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lorraine.banko.1@21771.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "746 Jefferson Ave",
            "address_2": "Suite 305",
            "city": "Scranton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "185101624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.