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KELLI LYNN LESAGE-BANK PNP
NPI 1578808994
Nurse Practitioner - Pediatrics in Phoenix, AZ

Active since December 11, 2012PECOS EnrolledAccepts Medicare Assignment
1919 E THOMAS RD, PHOENIX, AZ 85016(602) 933-2263(602) 933-4256 Get Directions Write a Review

NPPES record last updated: September 4, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kelli Lynn Lesage-bank Pnp NPPES

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

KELLI LYNN LESAGE-BANK PNP (NPI 1578808994) is an individual pediatrics provider in Phoenix, Arizona, licensed in Arizona (AP4687) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1578808994
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKELLI LYNN LESAGE-BANKCredential: PNP
Location Address1919 E THOMAS RDPhoenix, AZ 85016
Mailing Address3200 E Camelback Rd Ste 250Phoenix, AZ 85018-2327 · (602) 933-1813
Phone(602) 933-2263
Fax(602) 933-4256
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateDecember 11, 2012
Last NPPES UpdateSeptember 4, 2018
✔ NPI 1578808994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in AZ · AP4687
1919 E THOMAS RD, Phoenix, AZ 85016
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc 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 and accepts Medicare assignment

Kelli Lynn Lesage-bank Pnp 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 ID3173764693
PECOS Enrollment IDI20260316003571
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

6

Medicare enrollment records show Kelli Lesage-bank reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Phoenix Children's Hospital
0.1 mi
Pediatrics
1919 E THOMAS RD
Phoenix, AZ 85016
  • Reassigned Medicare billing, Arizona enrollment
  • 1,416 clinicians in this Medicare group
NPI 1922112044 (602) 933-1000
District Medical Group, Inc
1.6 mi
Surgery
2525 E ROOSEVELT ST, MED CLINIC - INFECTIOUS DISEASE
Phoenix, AZ 85008
  • Reassigned Medicare billing, Arizona enrollment
  • 1,490 clinicians in this Medicare group
NPI 1174856280 (602) 344-1095
Mountain Park Health Center
1.9 mi
Federally Qualified Health Center (FQHC)
3003 N CENTRAL AVE STE 1600
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 166 clinicians in this Medicare group
NPI 1669878567 (602) 323-3344
Scottsdale Physicians Group Plc
9.7 mi
Internal Medicine
7975 N HAYDEN RD STE D354
Scottsdale, AZ 85258
  • Reassigned Medicare billing, Arizona enrollment
  • 97 clinicians in this Medicare group
NPI 1689799579 (480) 214-9720
United Telehealth Corp
9.7 mi
Internal Medicine
7975 N HAYDEN RD STE D354
Scottsdale, AZ 85258
  • Reassigned Medicare billing, Arizona enrollment
  • 32 clinicians in this Medicare group
NPI 1760036966 (480) 214-9720
Gila River Health Care Corporation
15 mi
Critical Access
17487 S. HEALTH CARE DR.
Laveen, AZ 85339
  • Reassigned Medicare billing, Texas enrollment
  • 482 clinicians in this Medicare group
NPI 1376538231 (520) 550-6000

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 85016 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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.

DR. TIMUR RAGHIB M.D.
Hospitalist
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-0777
MRS. MARIA T ESCOBAR CSP, RD
Dietitian, Registered
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (480) 440-2787
DR. AHMAR HUSAIN MD
Anesthesiology (Pediatric Anesthesiology)
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-4660
MRS. SOLEE R COWLEY LCSW
Social Worker (Clinical)
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-0414
MR. SEAN PATRICK BRADY DO
Anesthesiology (Pediatric Anesthesiology)
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-4660
PRIYA PRASHER M.D.
Pediatrics
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-1900
DR. AMIT RAJARAM D.O.
Pediatrics
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-0198
LAURA GARDNER HAMANT
Pediatrics (Pediatric Gastroenterology)
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-1000

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 Kelli Lesage-bank's NPI number?

The NPI number for Kelli Lesage-bank is 1578808994. It was assigned to this individual provider in the NPPES registry on December 11, 2012.

Where is Kelli Lesage-bank located?

Kelli Lesage-bank practices at 1919 E Thomas Rd, Phoenix, AZ 85016. The listed phone number is (602) 933-2263.

What is Kelli Lesage-bank's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kelli Lesage-bank enrolled in Medicare?

Yes. Kelli Lesage-bank 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 Kelli Lesage-bank's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelli Lesage-bank reassigns Medicare benefits to 6 organizations: Phoenix Children's Hospital (Phoenix, AZ), District Medical Group, Inc (Phoenix, AZ), Mountain Park Health Center (Phoenix, AZ), Scottsdale Physicians Group Plc (Scottsdale, AZ), United Telehealth Corp (Scottsdale, AZ) 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 Kelli Lesage-bank's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelli Lesage-bank accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Imperial Insurance Companies, Inc. and UnitedHealthcare list Kelli Lesage-bank 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.

When was this NPI record last updated?

The NPPES record for Kelli Lesage-bank was last updated on September 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.