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DARCY O'BANION APN
NPI 1770039554
Clinical Nurse Specialist - Adult Health in Aurora, CO

Active since August 31, 2016PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
12700 E 19TH AVE, AURORA, CO 80045(719) 439-6249 Get Directions Write a Review

NPPES record last updated: November 2, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 2, 2018, Oct 24, 2018, Aug 31, 2016 (3 updates tracked since 2016).

About Darcy O'banion Apn NPPES

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

DARCY O'BANION APN (NPI 1770039554) is an individual adult health provider in Aurora, Colorado, licensed in Colorado (APN.0992564-CNS) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1770039554
Entity TypeIndividualFemale
Primary Taxonomy364SA2200X
Provider Legal NameDARCY O'BANIONCredential: APN
Location Address12700 E 19TH AVEAurora, CO 80045-2560
Mailing AddressPo Box 110429Aurora, CO 80042-0429 · (303) 493-7000
Phone(719) 439-6249
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 31, 2016
Last NPPES UpdateNovember 2, 20183 updates tracked since enumeration
✔ NPI 1770039554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical Nurse Specialist · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SA2200X
License✔ Licensed in CO · APN.0992564-CNS
Also ListedClinical Nurse Specialist · Acute CareTaxonomy 364SA2100X · License 0992564-CNS (CO)
12700 E 19TH AVE, Aurora, CO 80045
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, UnitedHealthcare.Insurance ›

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

Darcy O'banion Apn 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 ID2163703976
PECOS Enrollment IDI20230531001902
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
23 services16 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
22 services14 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80045 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

DR. AMY BRIDGIT MATHEW MD
Internal Medicine
12700 E 19TH AVE
AURORA, CO 80045
Adams County (303) 724-6043
ANDREA ELENA DAVIS MD
Internal Medicine
12700 E 19TH AVE
AURORA, CO 80045
Adams County (303) 724-6043
LAURA NATALIA VICTORIA POVEDA MD
Student in an Organized Health Care Education/Training Program
12700 E 19TH AVE
AURORA, CO 80045
Adams County (303) 724-6196
CRISTOFER FRANCISCO SANTAMARIA GARCIA MD
Student in an Organized Health Care Education/Training Program
12700 E 19TH AVE
AURORA, CO 80045
Adams County (303) 724-5000
DR. MAXWELL A WITT MD
Internal Medicine
12700 E 19TH AVE
AURORA, CO 80045
Adams County (303) 724-6196
SARAH E CLARK PHD
Technician
12700 E 19TH AVE
AURORA, CO 80045
Adams County (303) 724-9561
RICHARD JOHNSON MD
Internal Medicine (Nephrology)
12700 E 19TH AVE
AURORA, CO 80045
Adams County (303) 724-4852
DR. LAUREN ASHLEY LANGE MD
Student in an Organized Health Care Education/Training Program
12700 E 19TH AVE
AURORA, CO 80045
Adams County (303) 724-4330

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 Darcy O'banion's NPI number?

The NPI number for Darcy O'banion is 1770039554. It was assigned to this individual provider in the NPPES registry on August 31, 2016.

Where is Darcy O'banion located?

Darcy O'banion practices at 12700 E 19th Ave, Aurora, CO 80045. The listed phone number is (719) 439-6249.

What is Darcy O'banion's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Adult Health, with taxonomy code 364SA2200X.

Is Darcy O'banion enrolled in Medicare?

Yes. Darcy O'banion 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.

What insurance does Darcy O'banion accept?

Health plans from Medica and UnitedHealthcare list Darcy O'banion 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 Darcy O'banion was last updated on November 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.