Jade Banning, PA-C
Individual provider Active NPI Physician Assistant · Lindsborg, KS
NPI 1760810568 · NPPES record last updated Mar 23, 2020
Key facts
- NPI
- 1760810568
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 15-01763 (KS)
- Practice address
- 605 W Lincoln St
Lindsborg, KS 67456 - Phone
- (785) 227-3371
- Fax
- (785) 227-3004
- NPI assigned
- Oct 15, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.31 of 100
- Quality
- 81.99
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 62.39
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150528002320 | KS | Practitioner - Physician Assistant | 5496981516 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15-01763 | KS | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lindsborg Community Hospital Association | Current |
Accepting new patients | |
| Lindsborg Community Hospital Association | Current | Accepting new patients | |
| Lindsborg Community Hospital Association | Current |
Accepting new patients | |
| Lindsborg Community Rural Health Clinic Inc | Current | Accepting new patients | |
| Banning Family Chiropractic | Past |
Accepting new patients |
Locations
605 W Lincoln St
Lindsborg, KS 67456
Phone (785) 227-3308
335 E Swensson Ave
Lindsborg, KS 67456
Phone (316) 347-5661
321 N Chestnut St
Lindsborg, KS 67456
Phone (785) 227-2334
202 S Washington St
Marquette, KS 67464
Phone (785) 227-3371
Interoperability endpoints
- jade.banning@srhcdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 15-01763 | KS | Yes |
Addresses
Primary practice location
605 W Lincoln St
Lindsborg, KS 67456
Mailing address
605 W Lincoln St
Lindsborg, KS 67456
Phone (785) 227-3371
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201173790A | Medicaid | KS |
Other providers in Lindsborg, KS
- Pamela Marie Askren
- Auburn Pharmacy, Inc.
- Auburn Pharmacy, Inc.
- Andrea Jean Baldwin
- Banning Family Chiropractic
- Kendall Banning
- Kristy Jean Bergstrom
- Bethany Home Association of Lindsborg Kansas
- Emily Burchett
- Esther A Carlson
All providers in Lindsborg, KS · Physician Assistant in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2020. 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.