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ALICE BANDA REGISTERED NURSE
NPI 1710853247
Nurse Practitioner in Queen Creek, AZ

Active since October 13, 2025PECOS Enrolled
22717 S ELLSWORTH RD, QUEEN CREEK, AZ 85142(480) 306-5650 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 26, 2026, Jan 7, 2026 (2 updates tracked since 2026).

About Alice Banda Registered Nurse NPPES

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

ALICE BANDA REGISTERED NURSE (NPI 1710853247) is an individual nurse practitioner in Queen Creek, Arizona, licensed in Arizona (333310) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1710853247
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameALICE BANDACredential: REGISTERED NURSE
Location Address22717 S ELLSWORTH RDQueen Creek, AZ 85142-6127
Mailing Address22717 S Ellsworth RdQueen Creek, AZ 85142-6127
Phone(480) 306-5650
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 13, 2025
Last NPPES UpdateJanuary 26, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2026
✔ NPI 1710853247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in AZ · 333310
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
22717 S ELLSWORTH RD, Queen Creek, AZ 85142
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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 (PECOS)

Alice Banda Registered Nurse is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719455294
PECOS Enrollment IDI20260501003633
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85142 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 3

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

BRENDA HARDING FNP-C
Nurse Practitioner (Family)
22717 S ELLSWORTH RD, SUITE B101
QUEEN CREEK, AZ 85142
Maricopa County (480) 306-5650
MRS. TAMMY LYNN CHESLEY FNP
Nurse Practitioner (Primary Care)
22717 S ELLSWORTH RD, B101
QUEEN CREEK, AZ 85142
Maricopa County (480) 306-5650
TORGERSON DENTAL LLC
Clinic/Center (Dental)
22717 S ELLSWORTH RD, SUITE B102
QUEEN CREEK, AZ 85142
Maricopa County (480) 888-9596

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 Alice Banda's NPI number?

The NPI number for Alice Banda is 1710853247. It was assigned to this individual provider in the NPPES registry on October 13, 2025.

Where is Alice Banda located?

Alice Banda practices at 22717 S Ellsworth Rd, Queen Creek, AZ 85142. The listed phone number is (480) 306-5650.

What is Alice Banda's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Alice Banda enrolled in Medicare?

Yes. Alice Banda is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alice Banda was last updated on January 26, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.