LORI ANN BANSE-FAY NP
NPI 1982085700
Nurse Practitioner - Family in Jamestown, NY

Q: What is Lori Banse-fay's NPI number?

The NPI number for Lori Banse-fay is 1982085700. It was assigned to this individual provider in the NPPES registry on June 17, 2015.

Q: What is Lori Banse-fay's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lori Banse-fay was last updated on October 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since June 17, 2015PECOS EnrolledAccepts Medicare Assignment

15 S MAIN ST, SUITE 151, JAMESTOWN, NY 14701(716) 483-0113 Get Directions Write a Review

NPPES record last updated: October 21, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Lori Ann Banse-fay Np NPPES

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

LORI ANN BANSE-FAY NP (NPI 1982085700) is an individual family provider in Jamestown, New York, licensed in New York (F340506) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Peterson Regional Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1982085700

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLORI ANN BANSE-FAYCredential: NP

Location Address15 S MAIN ST, SUITE 151Jamestown, NY 14701-6626

Mailing Address15 S Main St, Suite 300Jamestown, NY 14701-6626 · (716) 488-1877 · Fax (716) 488-1986

Phone(716) 483-0113

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJune 17, 2015

Last NPPES UpdateOctober 21, 2016

✔ NPI 1982085700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · F340506

Also ListedRegistered NurseTaxonomy 163W00000X · License RN653788 (PA)

15 S MAIN ST, Jamestown, NY 14701

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Sendero Health Plans, Local Nonprofit.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

Lori Ann Banse-fay Np 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 ID1052612728

PECOS Enrollment IDI20231013000058

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 5

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.

1,232 services299 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

346 services147 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

158 services153 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

145 services142 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.

47 services39 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Peterson Regional Medical Center

Acute Care Hospitals · Kerrville, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450007

Location551 Hill Country DriveKerrville, TX 78028 · Kerr County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14701 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

DREW GIBSON

Physical Therapy Assistant

15 S MAIN ST, SUITE 220
JAMESTOWN, NY 14701

Chautauqua County (716) 488-2322

DR. ROBERT BAILEY MD

Family Medicine

15 S MAIN ST, SUITE 250 - FAMILY PRACTICE
JAMESTOWN, NY 14701

Chautauqua County (716) 488-1878

LEANDRA NICOLE ST. PIERRE DPT, CSCS

Physical Therapist

15 S MAIN ST, SUITE 220
JAMESTOWN, NY 14701

Chautauqua County (716) 488-2322

SHIRLEY J SWENSON FNP

Nurse Practitioner (Family)

15 S MAIN ST, SUITE 160
JAMESTOWN, NY 14701

Chautauqua County (716) 484-7107

KAROLEE HUTCHINSON PTA

Physical Therapy Assistant

15 S MAIN ST, SUITE 220
JAMESTOWN, NY 14701

Chautauqua County (716) 488-2322

TIMOTHY BROWN

Surgery

15 S MAIN ST, SUITE 170
JAMESTOWN, NY 14701

Chautauqua County (716) 483-1183

SHADEN ALFALLAY

Internal Medicine

15 S MAIN ST, SUITE 150 INTERNAL MEDICINE
JAMESTOWN, NY 14701

Chautauqua County (716) 484-8610

DR. GEORGE L SO M.D.

Internal Medicine (Cardiovascular Disease)

15 S MAIN ST, SUITE 110 - CARDIOLOGY
JAMESTOWN, NY 14701

Chautauqua County (716) 483-2320

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 Lori Banse-fay's NPI number?

The NPI number for Lori Banse-fay is 1982085700. It was assigned to this individual provider in the NPPES registry on June 17, 2015.

Where is Lori Banse-fay located?

Lori Banse-fay practices at 15 S Main St Suite 151, Jamestown, NY 14701. The listed phone number is (716) 483-0113.

What is Lori Banse-fay's specialty?

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

Is Lori Banse-fay enrolled in Medicare?

Yes. Lori Banse-fay 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 Lori Banse-fay accept?

Health plans from Blue Cross and Blue Shield of Texas and Sendero Health Plans, Local Nonprofit list Lori Banse-fay 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.

Is Lori Banse-fay affiliated with any hospitals?

According to CMS data, Lori Banse-fay is affiliated with Peterson Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Lori Banse-fay was last updated on October 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.