MELANIE BANKS FNP-C
NPI 1003425497
Nurse Practitioner - Family in Paulding, OH

Active since July 30, 2020PECOS EnrolledAccepts Medicare Assignment
1035 W WAYNE ST, PAULDING, OH 45879(419) 399-4080 Get Directions Write a Review

NPPES record last updated: December 14, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 14, 2020, Oct 14, 2020, Aug 6, 2020 and 1 more (4 updates tracked since 2020).

About Melanie Banks Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELANIE BANKS FNP-C (NPI 1003425497) is an individual family provider in Paulding, Ohio, licensed in Ohio (APRN.CNP.0027293) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Paulding County Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1003425497
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMELANIE BANKSCredential: FNP-C
Location Address1035 W WAYNE STPaulding, OH 45879-9235
Mailing Address1035 W Wayne StPaulding, OH 45879-9235 · (419) 399-4080
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 30, 2020
Last NPPES UpdateDecember 14, 20204 updates tracked since enumeration
NPPES CertifiedDecember 14, 2020
NPI 1003425497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OH · APRN.CNP.0027293
1035 W WAYNE ST, Paulding, OH 45879

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Melanie Banks Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072933555
PECOS Enrollment IDI20201022000866
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
141 services71 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
22 services22 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
15 services14 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Paulding County Hospital

Critical Access Hospitals · Paulding, OH
OwnershipGovernment - Local
CMS Certification Number361300
Location1035 West Wayne St.Paulding, OH 45879 · Paulding County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45879 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier18 claims18 services$20.02 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$7.79 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier18 claims18 services$112.25 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers11 claims11 services$22.15 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Acute Care Hospital (Critical Access)
1035 W WAYNE ST
PAULDING, OH 45879
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1035 W WAYNE ST
PAULDING, OH 45879
Pharmacist
1035 W WAYNE ST
PAULDING, OH 45879
Durable Medical Equipment & Medical Supplies
1035 W WAYNE ST
PAULDING, OH 45879
Nurse Practitioner (Family)
1035 W WAYNE ST
PAULDING, OH 45879
Audiologist
1035 W WAYNE ST, SUITE 10
PAULDING, OH 45879
Medicare Defined Swing Bed Unit
1035 W WAYNE ST
PAULDING, OH 45879
Audiologist
1035 W WAYNE ST, SUITE 10
PAULDING, OH 45879

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melanie Banks's NPI number?

The NPI number for Melanie Banks is 1003425497. It was assigned to this individual provider in the NPPES registry on July 30, 2020.

Where is Melanie Banks located?

Melanie Banks practices at 1035 W Wayne St, Paulding, OH 45879. The listed phone number is (419) 399-4080.

What is Melanie Banks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Melanie Banks enrolled in Medicare?

Yes. Melanie Banks is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Melanie Banks accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Melanie Banks as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Melanie Banks affiliated with any hospitals?

According to CMS data, Melanie Banks is affiliated with Paulding County Hospital.

When was this NPI record last updated?

The NPPES record for Melanie Banks was last updated on December 14, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.