THERESA NEWBANKS NP
NPI 1528460847
Nurse Practitioner - Family in Clinton, MO
About Theresa Newbanks Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THERESA NEWBANKS NP (NPI 1528460847) is an individual family provider in Clinton, Missouri, licensed in Missouri (2014034217) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, is affiliated with University Of Iowa Hospital & Clinics, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 3
Accepted Insurance
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
Theresa Newbanks Np 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.
Medicare Billing Reassignments
6Medicare enrollment records show Theresa Newbanks reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Clinton, MO 64735
- Reassigned Medicare billing, Missouri enrollment
- 220 clinicians in this Medicare group
Independence, MO 64057
- Reassigned Medicare billing, Missouri enrollment
- 71 clinicians in this Medicare group
Jefferson City, MO 65101
- Reassigned Medicare billing, Missouri enrollment
- 93 clinicians in this Medicare group
Ottumwa, IA 52501
- Reassigned Medicare billing, Iowa enrollment
- Also billed through NPI 1376648329 (Iowa)
- 79 clinicians in this Medicare group
Carbondale, IL 62901
- Reassigned Medicare billing, Illinois enrollment
- 88 clinicians in this Medicare group
- Reassigned Medicare billing, Missouri enrollment
- 35 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.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Iowa Hospital & Clinics
Acute Care Hospitals · Iowa City, IAJefferson County Health Center
Critical Access Hospitals · Fairfield, IASsm Health St Mary's Hospital Jefferson City
Acute Care Hospitals · Jefferson City, MOCenterpoint Medical Center
Acute Care Hospitals · Independence, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 64735 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CLINTON, MO 64735
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 Theresa Newbanks's NPI number?
The NPI number for Theresa Newbanks is 1528460847. It was assigned to this individual provider in the NPPES registry on September 17, 2014.
Where is Theresa Newbanks located?
Theresa Newbanks practices at 1600 N 2nd St, Clinton, MO 64735. The listed phone number is (660) 885-5511.
What is Theresa Newbanks's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Theresa Newbanks enrolled in Medicare?
Yes. Theresa Newbanks 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 Theresa Newbanks's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Newbanks reassigns Medicare benefits to 6 organizations: Golden Valley Memorial Hospital District (Clinton, MO), P & c Healthcare LLC (Independence, MO), Cole Physician Services LLC (Jefferson City, MO), Jefferson County Hospital (Ottumwa, IA), Granite City Hospitalist Services LLC (Carbondale, IL) and 1 more organization, 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 Theresa Newbanks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Theresa Newbanks accept?
Health plans from Anthem Blue Cross and Blue Shield, Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Theresa Newbanks 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 Theresa Newbanks affiliated with any hospitals?
According to CMS data, Theresa Newbanks is affiliated with University Of Iowa Hospital & Clinics, Jefferson County Health Center, Ssm Health St Mary's Hospital Jefferson City and Centerpoint Medical Center.
When was this NPI record last updated?
The NPPES record for Theresa Newbanks was last updated on March 13, 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.
# Theresa Newbanks, NP · NPI 1528460847
Family physician in Clinton, Missouri. Individual provider, active in the CMS NPPES registry since September 17, 2014.
## Identity
- **NPI:** 1528460847 (Entity type: Individual)
- **Enumerated:** September 17, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2014034217 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1600 N 2ND ST, Clinton, MO 64735-1192
- **Phone:** (660) 885-5511
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Golden Valley Memorial Hospital District (NPI 1538257183, Clinton, MO); P & c Healthcare LLC (NPI 1124575923, Independence, MO); Cole Physician Services LLC (NPI 1144578659, Jefferson City, MO); Jefferson County Hospital (NPI 1053284299, Ottumwa, IA); Granite City Hospitalist Services LLC (NPI 1669926424, Carbondale, IL); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** March 13, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1528460847) · Data from the CMS NPPES public registry.