MRS. AMBER WILLIAMS BANTA MSN, RN, CPNP-PC
NPI 1699174417
Nurse Practitioner - Pediatrics in Richmond, VA

Active since August 18, 2014PECOS Enrolled
1000 E BROAD ST, RICHMOND, VA 23219(804) 828-2467(804) 628-5852 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 20, 2024, Jan 24, 2022 (2 updates tracked since 2022).

About Mrs. Amber Williams Banta Msn, Rn, Cpnp-pc NPPES

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

MRS. AMBER WILLIAMS BANTA MSN, RN, CPNP-PC (NPI 1699174417) is an individual pediatrics provider in Richmond, Virginia, licensed in Virginia (0024187003) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1699174417
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. AMBER WILLIAMS BANTACredential: MSN, RN, CPNP-PC
Location Address1000 E BROAD STRichmond, VA 23219-1930
Mailing AddressPo Box 780125Philadelphia, PA 19178-0125 · (804) 922-4844
Fax(804) 628-5852
Sole ProprietorNo
Enumeration DateAugust 18, 2014
Last NPPES UpdateJune 20, 20242 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
✔ NPI 1699174417 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
Licenses✔ Licensed in VA · 0024187003✔ Licensed in NC · 5007095
1000 E BROAD ST, Richmond, VA 23219

Secondary Practice Locations 3

Location 14005 Oleander DrWilmington, NC 28403-6816 · Phone (910) 790-9949
Location 22131 S 17th StWilmington, NC 28401-7407 · Phone (910) 667-7360
Location 31250 E Marshall StRichmond, VA 23298-5023 · Phone (804) 828-2467 · Fax (804) 628-5852

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Amber Williams Banta Msn, Rn, Cpnp-pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Amber Banta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anesthesiology
1250 E MARSHALL ST, MAIN 1-214, BOX 980510
Richmond, VA 23298
  • Reassigned Medicare billing, Virginia enrollment
  • 2,481 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23219 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Dentist
1000 E BROAD ST
RICHMOND, VA 23219
Nurse Practitioner (Pediatrics)
1000 E BROAD ST
RICHMOND, VA 23219
Registered Nurse (Pediatrics)
1000 E BROAD ST
RICHMOND, VA 23219
Pediatrics
1000 E BROAD ST
RICHMOND, VA 23219
Nurse Practitioner (Pediatrics, Critical Care)
1000 E BROAD ST
RICHMOND, VA 23219
Nurse Practitioner (Neonatal)
1000 E BROAD ST
RICHMOND, VA 23219
Nurse Practitioner (Neonatal)
1000 E BROAD ST
RICHMOND, VA 23219
Social Worker (Clinical)
1000 E BROAD ST
RICHMOND, VA 23219

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 Amber Banta's NPI number?

The NPI number for Amber Banta is 1699174417. It was assigned to this individual provider in the NPPES registry on August 18, 2014.

Where is Amber Banta located?

Amber Banta practices at 1000 E Broad St, Richmond, VA 23219. The listed phone number is (804) 828-2467.

What is Amber Banta's specialty?

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

Is Amber Banta enrolled in Medicare?

Yes. Amber Banta is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amber Banta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amber Banta reassigns Medicare benefits to Mcv Associated Physicians (Richmond, VA). 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 Amber Banta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amber Banta accept?

Health plans from Oscar Health list Amber Banta 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 Amber Banta was last updated on June 20, 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.