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

Active since December 30, 2011PECOS Enrolled
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: October 25, 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
Phone(419) 893-5557
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
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan Deborah Banning Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

7

Medicare enrollment records show Susan Banning reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kingston Care Partners, LLC
10 mi
Nursing Care
1 SEAGATE, SUITE 1960
Toledo, OH 43604
  • Reassigned Medicare billing, Ohio enrollment
  • 30 clinicians in this Medicare group
NPI 1609185180 (419) 247-2880
NW Ohio Hospital Medicine Physicians LLC
37 mi
Emergency Medicine
1900 S MAIN ST
Findlay, OH 45840
  • Reassigned Medicare billing, Ohio enrollment
  • 109 clinicians in this Medicare group
NPI 1023794377 (419) 423-4500
Hospital Medicine Services Of Ohio, Inc.
82 mi
Hospitalist
651 W MARION RD
Mount Gilead, OH 43338
  • Reassigned Medicare billing, Ohio enrollment
  • 89 clinicians in this Medicare group
NPI 1073781597 (419) 946-5015
Preferred Physician Services Of Ohio LLC
105 mi
Internal Medicine
9200 WORTHINGTON RD STE 300
Westerville, OH 43082
  • Reassigned Medicare billing, Ohio enrollment
  • 119 clinicians in this Medicare group
NPI 1538899638 (337) 991-9276
Ch Specialty Services Oh LLC
173 mi
Internal Medicine
3239 JEFFERSON AVE STE 1
Cincinnati, OH 45220
  • Reassigned Medicare billing, Ohio enrollment
  • 107 clinicians in this Medicare group
NPI 1326747734 (337) 408-0797
Curana Health Of Ohio
173 mi
Internal Medicine
3239 JEFFERSON AVE STE 1PMB1015
Cincinnati, OH 45220
  • Reassigned Medicare billing, Ohio enrollment
  • 109 clinicians in this Medicare group
NPI 1760114961 (337) 408-0797
Emergency Professional Services, Inc.
181 mi
Emergency Medicine
230 MEDICAL CENTER DR
Seaman, OH 45679
  • Reassigned Medicare billing, Ohio enrollment
  • 894 clinicians in this Medicare group
NPI 1093762353 (937) 386-3400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 6

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

MRS. CARRIE SUE MERSEREAU CNP
Nurse Practitioner (Primary Care)
5757 MONCLOVA RD STE 26
MAUMEE, OH 43537
Lucas County (419) 893-5557
CHERYL ANN PITOCK APRN
Nurse Practitioner (Family)
5757 MONCLOVA RD STE 26
MAUMEE, OH 43537
Lucas County (419) 893-5557
MRS. LAUREN RAQUEL HUME FNP-C
Nurse Practitioner (Family)
5757 MONCLOVA RD STE 26
MAUMEE, OH 43537
Lucas County (877) 279-5960
TEAL DRAUGHON FNP
Nurse Practitioner (Family)
5757 MONCLOVA RD STE 26
MAUMEE, OH 43537
Lucas County (740) 258-5681
CHERYL LYNN BEIN APRN, CNP
Nurse Practitioner (Family)
5757 MONCLOVA RD STE 26
MAUMEE, OH 43537
Lucas County (419) 893-5557
CYNDEL C DONALDSON NP
Nurse Practitioner (Family)
5757 MONCLOVA RD STE 26
MAUMEE, OH 43537
Lucas County (419) 893-5557

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 enrollment system.

Which organizations bill Medicare for Susan Banning's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Banning reassigns Medicare benefits to 7 organizations: Kingston Care Partners, LLC (Toledo, OH), NW Ohio Hospital Medicine Physicians LLC (Findlay, OH), Hospital Medicine Services Of Ohio, Inc. (Mount Gilead, OH), Preferred Physician Services Of Ohio LLC (Westerville, OH), Ch Specialty Services Oh LLC (Cincinnati, OH) and 2 more organizations, listed in the Medicare section above. 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 Susan Banning's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Banning accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare 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 14 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.