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DR. MARIE CAROLLE ANNIE BANVILLE DNP-FNP-C
NPI 1669206199
Nurse Practitioner - Family in Boulder, CO

Active since August 28, 2024PECOS Enrolled
1220 26TH ST, BOULDER, CO 80302(970) 769-1324 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Marie Carolle Annie Banville Dnp-fnp-c NPPES

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

DR. MARIE CAROLLE ANNIE BANVILLE DNP-FNP-C (NPI 1669206199) is an individual family provider in Boulder, Colorado, licensed in Colorado (0999952-NP) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1669206199
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. MARIE CAROLLE ANNIE BANVILLECredential: DNP-FNP-C
Location Address1220 26TH STBoulder, CO 80302-6802
Mailing Address1220 26th StBoulder, CO 80302-6802 · (970) 769-1324
Phone(970) 769-1324
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 28, 2024
NPPES CertifiedAugust 27, 2024
✔ NPI 1669206199 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 CO · 0999952-NP
1220 26TH ST, Boulder, CO 80302
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Marie Carolle Annie Banville Dnp-fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759897481
PECOS Enrollment IDI20260512004622
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

2

Medicare enrollment records show Marie Carolle Annie Banville reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Goodness Health, LLC
24 mi
Multi-Specialty
925 N LINCOLN ST APT 15A
Denver, CO 80203
  • Reassigned Medicare billing, Colorado enrollment
  • 75 clinicians in this Medicare group
NPI 1609241264 (720) 500-5488
Ydiprmc LLC
1,589 mi
Urgent Care
1135 S SALISBURY BLVD
Salisbury, MD 21801
  • Reassigned Medicare billing, Maryland enrollment
  • 29 clinicians in this Medicare group
NPI 1447783899 (410) 334-6351

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 80302 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

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 Marie Carolle Annie Banville's NPI number?

The NPI number for Marie Carolle Annie Banville is 1669206199. It was assigned to this individual provider in the NPPES registry on August 28, 2024.

Where is Marie Carolle Annie Banville located?

Marie Carolle Annie Banville practices at 1220 26th St, Boulder, CO 80302. The listed phone number is (970) 769-1324.

What is Marie Carolle Annie Banville's specialty?

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

Is Marie Carolle Annie Banville enrolled in Medicare?

Yes. Marie Carolle Annie Banville is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Marie Carolle Annie Banville's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marie Carolle Annie Banville reassigns Medicare benefits to 2 organizations: Goodness Health, LLC (Denver, CO) and Ydiprmc LLC (Salisbury, MD). 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 Marie Carolle Annie Banville's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marie Carolle Annie Banville was last updated on August 28, 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.