BANNER HEALTH
NPI 1205267549
Clinic/Center - Multi-Specialty in Susanville, CA
About Banner Health NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BANNER HEALTH (NPI 1205267549) is a healthcare organization registered as a multi-specialty in Susanville, California and active in the NPI registry since December 2013. The organization holds a CLIA Microscopy certificate valid through September 22, 2028, maintains a secondary practice location in Susanville, and lists Steven Stark, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Banner Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
29Medicare enrollment records show 29 clinicians reassign Medicare billing to Banner Health, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 29Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D2119306
Banner Health · Susanville, CAFrequently 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 Banner Health's NPI number?
The NPI number for Banner Health is 1205267549. It was assigned to this organization in the NPPES registry on December 12, 2013. The provider is also known as Banner Health Clinic.
Where is Banner Health located?
Banner Health is located at 1680 Paul Bunyan Rd, Susanville, CA 96130. The listed phone number is (530) 257-5730.
What is Banner Health's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Banner Health enrolled in Medicare?
Yes. Banner Health is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Banner Health?
According to the CMS Revalidation Reassignment List (October 2026 release), 29 clinicians in 7 Medicare specialties reassign their Medicare billing to Banner Health. A 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 the clinician's services. The largest specialties are Pediatric Medicine (9), Diagnostic Radiology (8) and Orthopedic Surgery (7). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Banner Health hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D2119306) is associated with this NPI, valid through September 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Banner Health was last updated on April 20, 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.
# Banner Health · NPI 1205267549
Multi-Specialty organization in Susanville, California. Organization record, active in the CMS NPPES registry since December 12, 2013.
## Identity
- **NPI:** 1205267549 (Entity type: Organization)
- **Enumerated:** December 12, 2013
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Also known as:** Banner Health Clinic (Other Name)
- **Organization subpart:** Yes (part of Banner Health)
- **Authorized official:** Steven Stark, CEO
## Practice location
- **Address:** 1680 PAUL BUNYAN RD, Susanville, CA 96130-3133
- **Phone:** (530) 257-5730
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 29 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Pediatric Medicine (9), Diagnostic Radiology (8), Orthopedic Surgery (7); 2 practice within 10 miles; [full list](https://npiprofile.com/npi/1205267549/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 20, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1205267549) · Data from the CMS NPPES public registry.