MRS. KELLY BANKSTON APRN
NPI 1073289104
Nurse Practitioner - Family in Clinton, LA
About Mrs. Kelly Bankston Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KELLY BANKSTON APRN (NPI 1073289104) is an individual family provider in Clinton, Louisiana, licensed in Louisiana (221765) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Kelly Bankston Aprn 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.
Medicare Billing Reassignment
Medicare enrollment records show Kelly Bankston reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Clinton, LA 70722
- Reassigned Medicare billing, Louisiana enrollment
- 103 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 70722 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kelly Bankston's NPI number?
The NPI number for Kelly Bankston is 1073289104. It was assigned to this individual provider in the NPPES registry on August 18, 2021.
Where is Kelly Bankston located?
Kelly Bankston practices at 11990 Jackson St, Clinton, LA 70722. The listed phone number is (225) 683-5292.
What is Kelly Bankston's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelly Bankston enrolled in Medicare?
Yes. Kelly Bankston 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.
Which organization bills Medicare for Kelly Bankston's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Bankston reassigns Medicare benefits to Primary Care Providers For A Healthy Feliciana Inc (Clinton, LA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Bankston's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Bankston accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Kelly Bankston 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.
When was this NPI record last updated?
The NPPES record for Kelly Bankston was last updated on March 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Kelly Bankston, APRN · NPI 1073289104
Family physician in Clinton, Louisiana. Individual provider, active in the CMS NPPES registry since August 18, 2021.
## Identity
- **NPI:** 1073289104 (Entity type: Individual)
- **Enumerated:** August 18, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 221765 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 11990 JACKSON ST, Clinton, LA 70722-3210
- **Phone:** (225) 683-5292
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Primary Care Providers For A Healthy Feliciana Inc (NPI 1699878645, Clinton, LA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** March 9, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1073289104) · Data from the CMS NPPES public registry.