MARY OMBATSA BANKS PMHMP-C
NPI 1164246278
Nurse Practitioner - Psychiatric/Mental Health in Little Rock, AR
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
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
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.
Medicare Billing Reassignments
4Medicare enrollment records show Mary Banks reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Little Rock, AR 72201
- Reassigned Medicare billing, Arkansas enrollment
Alma, AR 72921
- Reassigned Medicare billing, Arkansas enrollment
- 14 clinicians in this Medicare group
Vian, OK 74962
- Reassigned Medicare billing, Arkansas enrollment
- 4 clinicians in this Medicare group
Siloam Springs, AR 72761
- Reassigned Medicare billing, Arkansas enrollment
- 78 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 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.
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.
Which organizations bill Medicare for Mary Banks's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Banks reassigns Medicare benefits to 4 organizations: Re-Engage Psychiatry And Recovery (Little Rock, AR), My Psych Health LLC (Alma, AR), Pavilion Behavioral Health LLC (Vian, OK) and Supportive Psych Care Of Arkansas PA (Siloam Springs, AR). Each 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 Mary Banks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Banks accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Mary 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.
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 6 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.
# Mary Ombatsa Banks, PMHMP-C · NPI 1164246278
Psychiatric/Mental Health physician in Little Rock, Arkansas. Individual provider, active in the CMS NPPES registry since November 14, 2024.
## Identity
- **NPI:** 1164246278 (Entity type: Individual)
- **Enumerated:** November 14, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 232176 (Arkansas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 401 W CAPITOL AVE STE 1700, Little Rock, AR 72201-3421
- **Phone:** (501) 353-7110
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Re-Engage Psychiatry And Recovery (NPI 1275476186, Little Rock, AR); My Psych Health LLC (NPI 1215643028, Alma, AR); Pavilion Behavioral Health LLC (NPI 1992539472, Vian, OK); Supportive Psych Care Of Arkansas PA (NPI 1437887437, Siloam Springs, AR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** April 7, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1164246278) · Data from the CMS NPPES public registry.