RICA BANFIELD
NPI 1194281451
Nurse Practitioner - Family in Baltimore, MD

Active since February 12, 2019PECOS EnrolledAccepts Medicare Assignment
2832 HUNTINGDON AVE, BALTIMORE, MD 21211(240) 423-9364 Get Directions Write a Review

NPPES record last updated: March 24, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Rica Banfield NPPES

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

RICA BANFIELD (NPI 1194281451) is an individual family provider in Baltimore, Maryland, licensed in Maryland (R207985) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with Saint Agnes Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1194281451
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRICA BANFIELD
Location Address2832 HUNTINGDON AVEBaltimore, MD 21211-2921
Mailing Address2832 Huntingdon AveBaltimore, MD 21211-2921 · (240) 423-9364
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 12, 2019
Last NPPES UpdateMarch 24, 2022
NPPES CertifiedMarch 24, 2022
NPI 1194281451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MD · R207985
Also ListedRegistered Nurse · Case ManagementTaxonomy 163WC0400X · License R207985 (MD)
2832 HUNTINGDON AVE, Baltimore, MD 21211

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

Rica Banfield 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 ID2961898689
PECOS Enrollment IDI20220406001011, I20220407000015
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 7

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
608 services79 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
535 services71 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
326 services60 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
86 services37 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
19 services15 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
17 services15 patients

Hospital Affiliations CMS Care Compare

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

Saint Agnes Hospital

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number210011
Location900 Caton AvenueBaltimore, MD 21229 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21211 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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

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

Nurse Practitioner
2832 HUNTINGDON AVE
BALTIMORE, MD 21211

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194281451, enumerated as an "individual" on February 12, 2019.

The provider is located at 2832 HUNTINGDON AVE BALTIMORE, MD 21211 and the phone number is (240) 423-9364.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Rica Banfield is affiliated with: SAINT AGNES HOSPITAL.