MRS. AMY M BANASZAK FNP
NPI 1215210471
Nurse Practitioner - Family in Colorado Springs, CO
About Mrs. Amy M Banaszak Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. AMY M BANASZAK FNP (NPI 1215210471) is an individual family provider in Colorado Springs, Colorado, licensed in Colorado (NP-990213) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Amy M Banaszak Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Amy Banaszak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Colorado Springs, CO 80907
- Reassigned Medicare billing, Colorado enrollment
- 3 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 80907 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COLORADO SPRINGS, CO 80907
COLORADO SPRINGS, CO 80907
COLORADO SPRINGS, CO 80907
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 Amy Banaszak's NPI number?
The NPI number for Amy Banaszak is 1215210471. It was assigned to this individual provider in the NPPES registry on September 23, 2011. The provider is also known as Miss Amy M Johnson.
Where is Amy Banaszak located?
Amy Banaszak practices at 325 E Fontanero St, Colorado Springs, CO 80907. The listed phone number is (719) 636-3829.
What is Amy Banaszak's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Amy Banaszak enrolled in Medicare?
Yes. Amy Banaszak is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Amy Banaszak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amy Banaszak reassigns Medicare benefits to Colorado Springs Endocrine Clinic PC (Colorado Springs, CO). The 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 Amy Banaszak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Amy Banaszak was last updated on November 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.
# Mrs. Amy M Banaszak, FNP · NPI 1215210471
Family physician in Colorado Springs, Colorado. Individual provider, active in the CMS NPPES registry since September 23, 2011.
## Identity
- **NPI:** 1215210471 (Entity type: Individual)
- **Enumerated:** September 23, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** NP-990213 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 325 E FONTANERO ST, Colorado Springs, CO 80907
- **Phone:** (719) 636-3829 · **Fax:** (719) 633-8571
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Colorado Springs Endocrine Clinic PC (NPI 1336101765, Colorado Springs, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 7, 2013
- **Other identifiers:** Medicaid 16922778 (CO); Medicare PIN COAAAY377 (CO)
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Source: [NPI Profile](https://npiprofile.com/npi/1215210471) · Data from the CMS NPPES public registry.