Kaitlyn R Banning

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

011238 Issued in AZ

Practice address

1005 Division St
Prescott, AZ 86301-1601

Phone

(928) 776-8428

NPI assigned

Apr 22, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/GynecologyAlso: Gynecological Oncology

Education

Philadelphia Col of Osteo Med, Sewanee, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Genesis OB GYN PLLCGroup PAC ID 4284724279, 109 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012

Merit-based Incentive Payment System (MIPS)

Final score

98.54 of 100Reported as group

Quality

93.24

Promoting interoperability

100

Improvement activities

40

Cost

79.69

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19050/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/615/brand/1/csg/1/fhir/r4

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

• Genesis OB GYN PLLC

  • Obstetrics & Gynecology Physician
  • Tucson, AZ
  • NPI 1992994214

  AZ, Obstetrics & Gynecology

  Medicare reassignment Care Compare group NPD
• Southern Arizona Laborists, LLC

  • Hospitalist Physician
  • Nogales, AZ
  • NPI 1639720063

  AZ

  Medicare reassignment NPD
• Womens Medical Care PC

  • Obstetrics & Gynecology Physician
  • Prescott, AZ
  • NPI 1992800494

  Obstetrics & Gynecology

  NPD
• Camelback Womens Health, PC

  • Obstetrics & Gynecology Physician
  • Phoenix, AZ
  • NPI 1447378518

  Obstetrics & Gynecology

  NPD (past)
• Yavapai Community Hospital Association

  • General Acute Care Hospital
  • Prescott, AZ
  • NPI 1902897820
  NPD (past)
• Botsford General Hospital

  • General Acute Care Hospital
  • Farmington Hills, MI
  • NPI 1336183367
  NPD (past)

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

• Yavapai Community Hospital Association

  • General Acute Care Hospital
  • Prescott, AZ
  • NPI 1902897820

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1962065219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 DIVISION ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011601",
            "telephone_number": "928-776-8428",
            "fax_number": "833-449-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 DIVISION ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011601",
            "telephone_number": "928-776-8428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3990 John R St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012018",
            "country_code": "US",
            "telephone_number": "313-993-4030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANNING",
        "first_name": "KAITLYN",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-22",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101027374",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "011238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Balance Multicare, PLC
• Len Douglas Balke, MD
• Daniel J Ballard, MD
• Kathryn T Ballard, M.D.
• Judy G Bandy, FNP
• Barbara Swain, PHD, PC
• Sandra M Barberie, PA-C
• Bardia Sinaei DMD PLLC
• Robert Duane Barker II, MD
• Cristal C Barko, LCSW

• All providers in Prescott, AZ
• Obstetrics & Gynecology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.