MRS. KELLY BANKSTON APRN
NPI 1073289104
Nurse Practitioner - Family in Clinton, LA

Active since August 18, 2021PECOS EnrolledAccepts Medicare Assignment
11990 JACKSON ST, CLINTON, LA 70722(225) 683-5292 Get Directions Write a Review

NPPES record last updated: March 9, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 9, 2022, Aug 18, 2021 (2 updates tracked since 2021).

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, is affiliated with Lane Regional Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1073289104
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KELLY BANKSTONCredential: APRN
Location Address11990 JACKSON STClinton, LA 70722-3210
Mailing Address11990 Jackson StClinton, LA 70722-3210 · (225) 683-5292
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 18, 2021
Last NPPES UpdateMarch 9, 20222 updates tracked since enumeration
NPPES CertifiedMarch 9, 2022
NPI 1073289104 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 LA · 221765
11990 JACKSON ST, Clinton, LA 70722

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

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.

PECOS PAC ID4284025305
PECOS Enrollment IDI20211229000201
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.

Hospital Affiliations CMS Care Compare

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

Lane Regional Medical Center

Acute Care Hospitals · Zachary, LA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190020
Location6300 Main StreetZachary, LA 70791 · E. Baton Rouge County
Emergency services Birthing friendly

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.

New Patient
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

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.

Registered Nurse
11990 JACKSON ST
CLINTON, LA 70722
Counselor (Professional)
11990 JACKSON ST
CLINTON, LA 70722
Registered Nurse
11990 JACKSON ST
CLINTON, LA 70722
Dietitian, Registered
11990 JACKSON ST
CLINTON, LA 70722
Social Worker (Clinical)
11990 JACKSON ST
CLINTON, LA 70722
Social Worker (Clinical)
11990 JACKSON ST
CLINTON, LA 70722
Dentist (General Practice)
11990 JACKSON ST
CLINTON, LA 70722
Social Worker (Clinical)
11990 JACKSON ST
CLINTON, LA 70722

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.

What insurance does Kelly Bankston accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, 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.

Is Kelly Bankston affiliated with any hospitals?

According to CMS data, Kelly Bankston is affiliated with Lane Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Kelly Bankston was last updated on March 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.