SUSAN DEBORAH BANNING CNP
NPI 1407126980
Nurse Practitioner - Family in Maumee, OH

Active since December 30, 2011PECOS EnrolledAccepts Medicare Assignment
5757 MONCLOVA RD STE 26, MAUMEE, OH 43537(419) 893-5557(419) 424-3870 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan Deborah Banning Cnp NPPES

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

SUSAN DEBORAH BANNING CNP (NPI 1407126980) is an individual family provider in Maumee, Ohio, licensed in Ohio (COA.12761-NP) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS, is affiliated with Mercy Health - Tiffin Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1407126980
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUSAN DEBORAH BANNINGCredential: CNP
Location Address5757 MONCLOVA RD STE 26Maumee, OH 43537-1863
Mailing Address5757 Monclova Rd Ste 26Maumee, OH 43537-1863 · (419) 893-5557 · Fax (419) 893-5199
Fax(419) 424-3870
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateDecember 30, 2011
Last NPPES UpdateJuly 30, 2025
NPPES CertifiedJuly 30, 2025
NPI 1407126980 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 OH · COA.12761-NP
5757 MONCLOVA RD STE 26, Maumee, OH 43537

Accepted Insurance

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

Susan Deborah Banning Cnp 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 ID7012177389
PECOS Enrollment IDI20120323000042
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 8

Services this provider delivered to Medicare fee-for-service patients, from the 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.
139 services35 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
97 services22 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.
71 services21 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.
39 services19 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
35 services21 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
26 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Mercy Health - Tiffin Hospital

Acute Care Hospitals · Tiffin, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360089
Location45 St Lawrence DriveTiffin, OH 44883 · Seneca County
Emergency services Birthing friendly

Blanchard Valley Hospital

Acute Care Hospitals · Findlay, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360095
Location1900 South Main StreetFindlay, OH 45840 · Hancock County
Birthing friendly

Mercy St Vincent Medical Center

Acute Care Hospitals · Toledo, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360112
Location2213 Cherry StreetToledo, OH 43608 · Lucas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43537 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier20 claims20 services$21.43 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers42 claims42 services$117.06 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
4 suppliers12 claims12 services$31.75 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 5

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

Nurse Practitioner (Primary Care)
5757 MONCLOVA RD STE 26
MAUMEE, OH 43537
Nurse Practitioner (Family)
5757 MONCLOVA RD STE 26
MAUMEE, OH 43537
Nurse Practitioner (Family)
5757 MONCLOVA RD STE 26
MAUMEE, OH 43537
Nurse Practitioner (Family)
5757 MONCLOVA RD STE 26
MAUMEE, OH 43537
Nurse Practitioner (Family)
5757 MONCLOVA RD STE 26
MAUMEE, OH 43537

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 Susan Banning's NPI number?

The NPI number for Susan Banning is 1407126980. It was assigned to this individual provider in the NPPES registry on December 30, 2011.

Where is Susan Banning located?

Susan Banning practices at 5757 Monclova Rd Ste 26, Maumee, OH 43537. The listed phone number is (419) 893-5557.

What is Susan Banning's specialty?

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

Is Susan Banning enrolled in Medicare?

Yes. Susan Banning 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.

What insurance does Susan Banning accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and McLaren Health Plan Community and 2 other insurers list Susan Banning as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Susan Banning affiliated with any hospitals?

According to CMS data, Susan Banning is affiliated with Mercy Health - Tiffin Hospital, Blanchard Valley Hospital and Mercy St Vincent Medical Center.

When was this NPI record last updated?

The NPPES record for Susan Banning was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.