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MRS. AMY M BANASZAK FNP
NPI 1215210471
Nurse Practitioner - Family in Colorado Springs, CO

Active since September 23, 2011PECOS Enrolled
325 E FONTANERO ST, COLORADO SPRINGS, CO 80907(719) 636-3829(719) 633-8571 Get Directions Write a Review

NPPES record last updated: November 7, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1215210471
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. AMY M BANASZAKCredential: FNP
Location Address325 E FONTANERO STColorado Springs, CO 80907
Mailing Address325 E Fontanero StColorado Springs, CO 80907 · (719) 636-3829 · Fax (719) 633-8571
Phone(719) 636-3829
Fax(719) 633-8571
Sole ProprietorNo
Enumeration DateSeptember 23, 2011
Last NPPES UpdateNovember 7, 2013
✔ NPI 1215210471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CO · NP-990213
325 E FONTANERO ST, Colorado Springs, CO 80907
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Other Names 1

Former Name (1)Miss Amy M Johnson

Other Identifiers 2

Medicaid16922778CO
Medicare PINCOAAAY377CO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Amy M Banaszak Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

New Patient
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers21 claims92 services$6.22 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers56 claims56 services$183.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

WILLIAM A MUNSON MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
325 E FONTANERO ST, COLORADO SPRINGS ENDOCRINE CLINIC PC
COLORADO SPRINGS, CO 80907
El Paso County (719) 636-3829
MS. SUSAN ELAINE HENLEY MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
325 E FONTANERO ST
COLORADO SPRINGS, CO 80907
El Paso County (719) 636-3829
COLORADO SPRINGS ENDOCRINE CLINIC PC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
325 E FONTANERO ST, COLORADO SPRINGS ENDOCRINE CLINIC PC
COLORADO SPRINGS, CO 80907
El Paso County (719) 636-3829
JEAN MARIE DOAN NP-C
Nurse Practitioner (Adult Health)
325 E FONTANERO ST
COLORADO SPRINGS, CO 80907
El Paso County (719) 636-3829

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.

When was this NPI record last updated?

The NPPES record for Amy Banaszak was last updated on November 7, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.