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CLINTON DALE BANNING FNP
NPI 1629307533
Nurse Practitioner - Family in Grants Pass, OR

Active since December 24, 2009PECOS EnrolledAccepts Medicare Assignment
500 SW RAMSEY, GRANTS PASS, OR 97527(541) 472-7069 Get Directions Write a Review

NPPES record last updated: February 11, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clinton Dale Banning Fnp NPPES

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

CLINTON DALE BANNING FNP (NPI 1629307533) is an individual family provider in Grants Pass, Oregon, licensed in Oregon (201050003NP) and active in the NPI registry since December 2009. He is enrolled in Medicare PECOS, is affiliated with Asante Three Rivers Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1629307533
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameCLINTON DALE BANNINGCredential: FNP
Location Address500 SW RAMSEYGrants Pass, OR 97527
Mailing AddressPo Box 338, 133 Winnie Walker LaneGlendale, OR 97442-0338 · (541) 832-2335
Phone(541) 472-7069
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateDecember 24, 2009
Last NPPES UpdateFebruary 11, 2010
✔ NPI 1629307533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OR · 201050003NP
Also ListedRegistered NurseTaxonomy 163W00000X · License 2001141562RN (OR)
500 SW RAMSEY, Grants Pass, OR 97527
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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

Clinton Dale Banning Fnp 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 ID3971797424
PECOS Enrollment IDI20101028001551
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 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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
44 services44 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
24 services24 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services22 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Asante Three Rivers Medical Center

Acute Care Hospitals · Grants Pass, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380002
Location500 SW Ramsey AvenueGrants Pass, OR 97527 · Josephine County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97527 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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 4

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

THOMAS R LEBLANC CRNA
Nurse Anesthetist, Certified Registered
500 SW RAMSEY
GRANTS PASS, OR 97527
Josephine County (541) 472-7000
BRETT M WILLIAMS FNP
Nurse Practitioner (Family)
500 SW RAMSEY
GRANTS PASS, OR 97527
Josephine County (541) 472-7000
MR. NATHANIEL JUSTIN KELLY MD
Internal Medicine
500 SW RAMSEY
GRANTS PASS, OR 97527
Josephine County (541) 472-7000
MICHAEL SCOTT JOHNSON R.PH.
Pharmacist
500 SW RAMSEY
GRANTS PASS, OR 97527
Josephine County (541) 472-7212

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 Clinton Banning's NPI number?

The NPI number for Clinton Banning is 1629307533. It was assigned to this individual provider in the NPPES registry on December 24, 2009.

Where is Clinton Banning located?

Clinton Banning practices at 500 SW Ramsey, Grants Pass, OR 97527. The listed phone number is (541) 472-7069.

What is Clinton Banning's specialty?

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

Is Clinton Banning enrolled in Medicare?

Yes. Clinton 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.

Is Clinton Banning affiliated with any hospitals?

According to CMS data, Clinton Banning is affiliated with Asante Three Rivers Medical Center.

When was this NPI record last updated?

The NPPES record for Clinton Banning was last updated on February 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.