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MARY OMBATSA BANKS PMHMP-C
NPI 1164246278
Nurse Practitioner - Psychiatric/Mental Health in Little Rock, AR

Active since November 14, 2024PECOS EnrolledAccepts Medicare Assignment
401 W CAPITOL AVE STE 1700, LITTLE ROCK, AR 72201(501) 353-7110 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Apr 7, 2026, Nov 14, 2024 (2 updates tracked since 2024).

About Mary Ombatsa Banks Pmhmp-c NPPES

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

MARY OMBATSA BANKS PMHMP-C (NPI 1164246278) is an individual psychiatric/mental health provider in Little Rock, Arkansas, licensed in Arkansas (232176) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1164246278
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARY OMBATSA BANKSCredential: PMHMP-C
Location Address401 W CAPITOL AVE STE 1700Little Rock, AR 72201-3421
Mailing Address13008 Avilla Hills CvAlexander, AR 72002-8074 · (501) 353-7110
Phone(501) 353-7110
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 14, 2024
Last NPPES UpdateApril 7, 20262 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
✔ NPI 1164246278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in AR · 232176
401 W CAPITOL AVE STE 1700, Little Rock, AR 72201
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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

Mary Ombatsa Banks Pmhmp-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 ID3577081934
PECOS Enrollment IDI20250519003314
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72201 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

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 Mary Banks's NPI number?

The NPI number for Mary Banks is 1164246278. It was assigned to this individual provider in the NPPES registry on November 14, 2024.

Where is Mary Banks located?

Mary Banks practices at 401 W Capitol Ave Ste 1700, Little Rock, AR 72201. The listed phone number is (501) 353-7110.

What is Mary Banks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Mary Banks enrolled in Medicare?

Yes. Mary 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.

When was this NPI record last updated?

The NPPES record for Mary Banks was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.