Individual provider Active NPI

Jade Banning, PA-C

  • Physician Assistant
  • Lindsborg, KS
National Provider Identifier
1760810568
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-01763 Issued in KS
Practice address
605 W Lincoln St
Lindsborg, KS 67456
Phone
(785) 227-3371
Fax
(785) 227-3004
NPI assigned
Oct 15, 2013
Last updated
Mar 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15-01763 KS Primary

Addresses

Primary practice location

605 W Lincoln St
Lindsborg, KS 67456

Mailing address

605 W Lincoln St
Lindsborg, KS 67456
Phone (785) 227-3371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20150528002320 KS Practitioner - Physician Assistant 5496981516 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.31 of 100Reported as group
Quality
81.99
Promoting interoperability
100
Improvement activities
40
Cost
62.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
15-01763KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lindsborg Community Hospital Association CurrentSince Dec 11, 2017 Accepting new patients
Lindsborg Community Rural Health Clinic Inc Current Accepting new patients
Lindsborg Community Hospital Association CurrentSince Dec 11, 2017 Accepting new patients
Lindsborg Community Hospital Association Current Accepting new patients
Banning Family Chiropractic PastSince Jun 10, 2016 Accepting new patients

Locations

321 N Chestnut St
Lindsborg, KS 67456
Phone (785) 227-2334

335 E Swensson Ave
Lindsborg, KS 67456
Phone (785) 227-3371

605 W Lincoln St
Lindsborg, KS 67456
Phone (785) 227-3308

202 S Washington St
Marquette, KS 67464
Phone (785) 227-3371

Interoperability endpoints

  • Direct secure messaging: jade.banning@srhcdirect.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1381795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1760810568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 W LINCOLN ST",
            "city": "LINDSBORG",
            "state": "KS",
            "postal_code": "67456",
            "telephone_number": "785-227-3371",
            "fax_number": "785-227-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 W LINCOLN ST",
            "city": "LINDSBORG",
            "state": "KS",
            "postal_code": "67456",
            "telephone_number": "785-227-3371",
            "fax_number": "785-227-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANNING",
        "first_name": "JADE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-15",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindsborg, KS

Sources for this page

Verify at the official NPI Registry.