Individual provider Active NPI

Jannel Banks, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • North Las Vegas, NV
National Provider Identifier
1962274506
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
870541 Issued in NV
Practice address
1804 Ashley Lynn Ave
North Las Vegas, NV 89086-1806
Phone
(702) 480-9040
NPI assigned
Oct 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 870541 NV Primary

Addresses

Primary practice location

1804 Ashley Lynn Ave
North Las Vegas, NV 89086-1806

Mailing address

4029 Dean Martin Dr
Las Vegas, NV 89103-4138
Phone (702) 848-2256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20241209002738 NV Practitioner - Nurse Practitioner 7113453507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Nevada, Las Vegas School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Anywhere Clinic LLC 32 clinicians

Practice addresses (Care Compare)

4029 Dean Martin Dr
Las Vegas, NV 89103-4138
Phone (702) 848-2256

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
870541NVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anywhere Clinic LLC Psychiatric/Mental Health CurrentSince Sep 20, 2024 Accepting new patients
Stimulating Mindz LLC Psychiatric/Mental Health Current Accepting new patients

Locations

4029 Dean Martin Dr
Las Vegas, NV 89103
Phone (702) 919-1508

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1962274506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4029 DEAN MARTIN DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891034138",
            "telephone_number": "702-848-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 ASHLEY LYNN AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890861806",
            "telephone_number": "702-480-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS",
        "first_name": "JANNEL",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "870541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.