KATHLEEN M. BANNON (N.P.) – Adult Health Nurse Practitioner, NPI 1184632317
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for KATHLEEN M. BANNON (N.P.)
718 ELIZABETH ST
FL 3
CORP CHRISTI, TX 784042212
Phone: (361) 884-2858
Type: Mailing
6999, McPherson Road, Del Mar, Laredo, Webb County, Texas, 78041, United States
SUITE 220
LAREDO, TX 780416449
Phone: (956) 795-4777
Fax: (956) 795-4779
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 44 Open Payments records for all available years, with a total value of $737.
Total Amount is formed as General ($737) + Research ($0) + Ownership ($0) = $737.
Last reported payment date: 2024-04-30 • Largest payer in this snapshot: ABBVIE INC. ($283).
Total Amount
$737
General + Research + Ownership
Payments
44
Total payment records
General Amount
$737
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-30
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2007-06-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070601000412 | I | Nurse Practitioner | TX | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 33 | 31 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 78404)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| G A S T R O E N T E R O L O G Y | TX | |
| Certified Registered Nurse Anesthetist (Crna) | CO | |
| Gastroenterology, Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| G A S T R O E N T E R O L O G Y | TX |
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