MRS. KAREN BANKS RN, MSN, FNP
NPI 1356901037
Nurse Practitioner - Family in Newport News, VA

Active since June 16, 2019PECOS EnrolledAccepts Medicare Assignment
120 WILLET WAY, NEWPORT NEWS, VA 23606(757) 218-7235 Get Directions Write a Review

NPPES record last updated: April 27, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 27, 2024, Jun 16, 2019 (2 updates tracked since 2019).

About Mrs. Karen Banks Rn, Msn, Fnp NPPES

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

MRS. KAREN BANKS RN, MSN, FNP (NPI 1356901037) is an individual family provider in Newport News, Virginia, licensed in Virginia (0024190035) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1356901037
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KAREN BANKSCredential: RN, MSN, FNP
Location Address120 WILLET WAYNewport News, VA 23606-0137
Mailing Address120 Willet WayNewport News, VA 23606-0137 · (757) 218-7235
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJune 16, 2019
Last NPPES UpdateApril 27, 20242 updates tracked since enumeration
NPPES CertifiedApril 27, 2024
✔ NPI 1356901037 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 VA · 0024190035
Also ListedRegistered NurseTaxonomy 163W00000X · License 0001173248 (VA)
120 WILLET WAY, Newport News, VA 23606

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

Mrs. Karen Banks Rn, Msn, Fnp 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 ID4789117789
PECOS Enrollment IDI20241030000032
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Karen Banks reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geriatric Medicine
6160 KEMPSVILLE CIR STE 325A
Norfolk, VA 23502
  • Reassigned Medicare billing, Virginia enrollment
  • 214 clinicians in this Medicare group
Geriatric Medicine
6160 KEMPSVILLE CIR STE 325A
Norfolk, VA 23502
  • Reassigned Medicare billing, Virginia enrollment
  • 207 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Virginia enrollment
  • 501 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 23606 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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 Karen Banks's NPI number?

The NPI number for Karen Banks is 1356901037. It was assigned to this individual provider in the NPPES registry on June 16, 2019.

Where is Karen Banks located?

Karen Banks practices at 120 Willet Way, Newport News, VA 23606. The listed phone number is (757) 218-7235.

What is Karen Banks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Karen Banks enrolled in Medicare?

Yes. Karen 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 Karen Banks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Banks reassigns Medicare benefits to 3 organizations: Mid-Atlantic Post Acute & Long Term Care PLLC (Norfolk, VA), SE Virginia Value Based Care, LLC (Norfolk, VA) and Signify Health, LLC (Dallas, TX). 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 Karen Banks'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 Karen Banks was last updated on April 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.