SUSAN DEBORAH BANNING (CNP) – Family Nurse Practitioner, NPI 1407126980

SUSAN DEBORAH BANNING (CNP) is a healthcare provider. based in Toledo, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. COA.12761-NP (OH). The NPI Number for SUSAN DEBORAH BANNING (CNP) is 1407126980

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN DEBORAH BANNING (CNP)
NPI
1407126980
Phone
(419) 473-3561
Address
4235 SECOR RD
Enumeration Date
30 December 2011
Last Update Date
30 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4194557000
Graduation Year
2011 (15 years ago)
PAC ID
7012177389
Group Practice PAC ID
6103997747
Professional Enrollment ID
I20120323000042
Address ID
OH448838310TI45XXXDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:14State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for SUSAN DEBORAH BANNING (CNP)

  • 4235 SECOR RD

    TOLEDO, OH 436234231

    Phone: (419) 473-3561

    Type: Mailing

  • 6855 SPRING VALLEY DR

    SUITE NUMBER 120

    HOLLAND, OH 435288039

    Phone: (419) 865-3111

    Type: Location

  • 5757 MONCLOVA RD STE 26

    MAUMEE, OH 435371863

    Phone: (419) 893-5557

    Fax: (419) 893-5199

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $178.

Total Amount is formed as General ($178) + Research ($0) + Ownership ($0) = $178.

Last reported payment date: 2024-04-16 • Largest payer in this snapshot: Lilly USA, LLC ($110).

Total Amount

$178

General + Research + Ownership

Payments

7

Total payment records

General Amount

$178

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-16

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: 2012-03-23

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
I20120323000042INurse PractitionerOHTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes10179$0
99214Established patient office or other outpatient visit, 30-39 minutes10084$0
83036Hemoglobin a1c level3026$0
82962Blood glucose (sugar) test performed by hand-held instrument2925$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes2512$0
View full utilization report →

Insurance plans in this area (ZIP 43623)

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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: 6103997747View full group profile

Reviews

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Frequently asked questions

Where can patients find SUSAN DEBORAH BANNING (CNP)'s NPI?
You can confirm SUSAN DEBORAH BANNING (CNP) with NPI 1407126980; it appears in the national provider directory.
Is SUSAN DEBORAH BANNING (CNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does SUSAN DEBORAH BANNING (CNP) work in?
You can think of SUSAN DEBORAH BANNING (CNP) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is SUSAN DEBORAH BANNING (CNP)'s primary listing?
We display Toledo, Ohio because that is what the record indicates for SUSAN DEBORAH BANNING (CNP).
How can I contact SUSAN DEBORAH BANNING (CNP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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