TYRONE O'BANNER
NPI 1598482580
Nurse Practitioner - Psychiatric/Mental Health in Springfield, MA
About Tyrone O'banner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYRONE O'BANNER (NPI 1598482580) is an individual psychiatric/mental health provider in Springfield, Massachusetts, licensed in Massachusetts (APRN10003790) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS, is affiliated with Holyoke Medical Center, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
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
Tyrone O'banner 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 Reassignment
Medicare enrollment records show Tyrone O'banner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Springfield, MA 01104
- Reassigned Medicare billing, Massachusetts enrollment
- 211 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Holyoke Medical Center
Acute Care Hospitals · Holyoke, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Tyrone O'banner's NPI number?
The NPI number for Tyrone O'banner is 1598482580. It was assigned to this individual provider in the NPPES registry on October 20, 2022.
Where is Tyrone O'banner located?
Tyrone O'banner practices at 417 Liberty St, Springfield, MA 01104. The listed phone number is (413) 301-9355.
What is Tyrone O'banner's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Tyrone O'banner enrolled in Medicare?
Yes. Tyrone O'banner 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 organization bills Medicare for Tyrone O'banner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyrone O'banner reassigns Medicare benefits to Behavioral Health Network Inc (Springfield, MA). The 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 Tyrone O'banner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Tyrone O'banner affiliated with any hospitals?
According to CMS data, Tyrone O'banner is affiliated with Holyoke Medical Center.
When was this NPI record last updated?
The NPPES record for Tyrone O'banner was last updated on May 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Tyrone O'banner · NPI 1598482580
Psychiatric/Mental Health physician in Springfield, Massachusetts. Individual provider, active in the CMS NPPES registry since October 20, 2022.
## Identity
- **NPI:** 1598482580 (Entity type: Individual)
- **Enumerated:** October 20, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** APRN10003790 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 417 LIBERTY ST, Springfield, MA 01104-3736
- **Phone:** (413) 301-9355
## 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:** Behavioral Health Network Inc (NPI 1477582609, Springfield, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** May 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1598482580) · Data from the CMS NPPES public registry.