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MS. WENDI BANTHER PMHNP-BC
NPI 1861258394
Nurse Practitioner - Psychiatric/Mental Health in Warrenton, VA

Active since February 22, 2024PECOS Enrolled
6744 SETTLERS RIDGE RD, WARRENTON, VA 20187(571) 276-2257 Get Directions Write a Review

NPPES record last updated: February 22, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Wendi Banther Pmhnp-bc NPPES

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

MS. WENDI BANTHER PMHNP-BC (NPI 1861258394) is an individual psychiatric/mental health provider in Warrenton, Virginia, licensed in Virginia (0024189438) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861258394
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. WENDI BANTHERCredential: PMHNP-BC
Location Address6744 SETTLERS RIDGE RDWarrenton, VA 20187-2688
Mailing Address6744 Settlers Ridge RdWarrenton, VA 20187-2688 · (571) 276-2257
Phone(571) 276-2257
Sole ProprietorNo
Enumeration DateFebruary 22, 2024
NPPES CertifiedFebruary 22, 2024
✔ NPI 1861258394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in VA · 0024189438
6744 SETTLERS RIDGE RD, Warrenton, VA 20187
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Wendi Banther Pmhnp-bc 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 Wendi Banther reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychogeriatric Services LLC
57 mi
Psychiatry
10320 LITTLE PATUXENT PKWY STE 200
Columbia, MD 21044
  • Reassigned Medicare billing, Virginia enrollment
  • 89 clinicians in this Medicare group
NPI 1588689483 (301) 593-1315

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
73 services41 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
66 services38 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
36 services29 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
19 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20187 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.

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 Wendi Banther's NPI number?

The NPI number for Wendi Banther is 1861258394. It was assigned to this individual provider in the NPPES registry on February 22, 2024.

Where is Wendi Banther located?

Wendi Banther practices at 6744 Settlers Ridge Rd, Warrenton, VA 20187. The listed phone number is (571) 276-2257.

What is Wendi Banther's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Wendi Banther enrolled in Medicare?

Yes. Wendi Banther is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Wendi Banther's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wendi Banther reassigns Medicare benefits to Psychogeriatric Services LLC (Columbia, MD). 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 Wendi Banther's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wendi Banther accept?

Health plans from Oscar Health list Wendi Banther 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 Wendi Banther was last updated on February 22, 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.