KACHINE MARIE BANAHAN (APRN) – Nurse Practitioner, NPI 1306689518

KACHINE MARIE BANAHAN (APRN) is a healthcare provider. based in Aurora, Nebraska. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 115420 (NE). The NPI Number for KACHINE MARIE BANAHAN (APRN) is 1306689518

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
KACHINE MARIE BANAHAN (APRN)
NPI
1306689518
Phone
(402) 694-3171
Address
1423 7TH ST
Enumeration Date
15 June 2024
Last Update Date
15 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4026943191
Graduation Year
2024 (2 years ago)
PAC ID
6709317902
Group Practice PAC ID
1355394040
Professional Enrollment ID
I20240928000401
Address ID
NE688181104AU609XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:1State licenses:2Digital endpointsOther names

2,112 NURSE PRACTITIONER in NE

Provider Addresses for KACHINE MARIE BANAHAN (APRN)

  • 1423 7TH ST

    AURORA, NE 688181141

    Phone: (402) 694-3171

    Type: Mailing

  • 609 O ST

    AURORA, NE 688181100

    Phone: (402) 694-3191

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $29.

Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.

Last reported payment date: 2024-10-25 • Largest payer in this snapshot: Lilly USA, LLC ($16).

Total Amount

$29

General + Research + Ownership

Payments

2

Total payment records

General Amount

$29

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240928000401INurse PractitionerNETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 68818)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355394040View full group profile

Reviews

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Frequently asked questions

Is KACHINE MARIE BANAHAN (APRN) listed with a National Provider Identifier?
Yes — KACHINE MARIE BANAHAN (APRN) has NPI 1306689518 on file in the registry.
Would KACHINE MARIE BANAHAN (APRN) appear as active to a payer?
You can treat KACHINE MARIE BANAHAN (APRN) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to KACHINE MARIE BANAHAN (APRN)?
KACHINE MARIE BANAHAN (APRN)'s specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KACHINE MARIE BANAHAN (APRN)?
Travel planning: use Aurora, Nebraska as the reference point for KACHINE MARIE BANAHAN (APRN), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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