Adrianne Nichele Banks, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Mooresville, IN
NPI 1629356258 · NPPES record last updated Oct 8, 2022
Key facts
- NPI
- 1629356258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 01075982A (IN)
- Practice address
- 1205 Hadley Rd Ste 120
Mooresville, IN 46158-1934 - Phone
- (317) 584-3454
- Fax
- (877) 245-5768
- NPI assigned
- Aug 1, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- University of Missouri, Kansas City, School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sierra Vista Regional Health Center Medical Group LLC
Practice addresses (Care Compare)
5750 E Hwy 90
Suite 300B
Sierra Vista, AZ 85635-9114
Phone (520) 263-3620
Hospital & facility affiliations
- Canyon Vista Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240503002817 | AZ | Practitioner - Obstetrics/Gynecology | 5991013013 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01075982A | IN | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obhg Arizona, P.C. | Obstetrics & Gynecology | Current |
Accepting new patients |
| Sierra Vista Regional Health Center Medical Group LLC | Obstetrics & Gynecology | Current |
Accepting new patients |
| RCHP-Sierra Vista Inc | Past | Accepting new patients |
Locations
5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555
37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000
5750 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000
5750 E Highway 90
Ste 300B
Sierra Vista, AZ 85635
Phone (520) 263-3620
5750 E Highway 90
Ste 300
Sierra Vista, AZ 85635
Phone (520) 263-3620
5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000
350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000
Interoperability endpoints
- abanks505058@direct.parkviewexchange.com
- adrianne.banks.1@19231.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 01075982A | IN | Yes |
Addresses
Primary practice location
1205 Hadley Rd Ste 120
Mooresville, IN 46158-1934
Mailing address
11595 N Meridian St Ste 375
Carmel, IN 46032-3950
Phone (317) 575-7304
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/ | ||
| Direct Messaging Address | abanks505058@Direct.Parkviewexchange.com | ||
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/ |
Other providers in Mooresville, IN
- Anthony A Andres
- Ashton Therapeutics PLLC
- Ashley Nicole Ashton
- Axcess Solutions LLC
- Judith M Ayres
- Sheryl L Barnett
- Monica Barringer
- Jana Bartels
- Travis L Bauer
- Francis J Bean
All providers in Mooresville, IN · Obstetrics & Gynecology Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2022. 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.