MRS. MADONNA L BANKS APRN
NPI 1184053472
Nurse Practitioner - Family in Johnson City, TN
NPI Status: Active since November 06, 2013
Contact Information
301 MED TECH PKWY STE 240
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 794-5520
- Individual
- Female
- Years of Experience 14
- Nurse Practitioner
- Family
- Accepts Medicare Approved Payment
About MADONNA BANKS
This page provides the complete NPI Profile along with additional information for Madonna Banks, a provider established in Johnson City, Tennessee with a medical specialization in Nurse Practitioner, focusing in family and more than 14 years of experience. She graduated from East Tennessee State University Quillen College Of Medicine in 2012. The healthcare provider is registered in the NPI registry with number 1184053472 assigned on November 2013. The practitioner's primary taxonomy code is 363LF0000X with license number 17836 (TN). The provider is registered as an individual and her NPI record was last updated February 2025.
- NPI
- 1184053472
- Provider Name
- MRS. MADONNA L BANKS APRN
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 301 MED TECH PKWY STE 240 JOHNSON CITY, TN 37604
- Location Phone
- (423) 794-5520
- Mailing Address
- PO BOX 632476 CINCINNATI, OH 45263
- Mailing Phone
- (423) 794-5520
- Mailing Fax
- Medical School Name
- EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
- Graduation Year
- 2012
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-06-2013
- Last Update Date
- 02-13-2025
- Code Navigator
A nurse practitioner (NP) like Madonna Banks is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Secondary Locations
- 444 Clinchfield St Ste 201
Kingsport, TN 37660
(423) 230-2100
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 17836
- License State
- TN
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 163W00000X | Nursing Service Providers | Registered Nurse | 160343 (TN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
1184053472 | MEDICAID (05) | VA | |
P01706810 | OTHER (01) | TN | RAILROAD MEDICARE |
1184053472 | MEDICAID (05) | NC | |
7100285590 | MEDICAID (05) | KY | |
Q002716 | MEDICAID (05) | TN |
Medicare Participation & PECOS Enrollment Status
Madonna Banks is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 1951531136
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20140310000330
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Follow-up hospital inpatient care per day, typically 35 minutes
Hospital discharge day management, more than 30 minutes
Initial hospital inpatient care per day, typically 70 minutes
Initial hospital observation care per day, typically 70 minutes
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.
This service was performed 85 times for 41 patientsHospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
This service was performed 22 times for 22 patientsInitial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
This service was performed 76 times for 73 patientsThis service involves a healthcare professional closely monitoring your health condition during your hospital stay. It typically lasts for about 70 minutes each day. This helps in timely detection of any changes in your health, allowing for immediate response and treatment.
This service was performed 15 times for 15 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $20.38 for a new patient copayment and $23.4 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 37604 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $81.53
- Minimum New Patient Price $52.64
- Maximum New Patient Price $160.89
- Average New Patient Copayment $20.38
- Minimum New Patient Copayment $13.16
- Maximum New Patient Copayment $40.22
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $93.6
- Minimum Established Patient Price $16.72
- Maximum Established Patient Price $131.41
- Average Established Patient Copayment $23.4
- Minimum Established Patient Copayment $4.18
- Maximum Established Patient Copayment $32.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Madonna Banks is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
WELLMONT HOLSTON VALLEY MEDICAL CENTER | 130 WEST RAVINE ROAD KINGSPORT, TN 37662 | (423) 224-4000 | Acute Care Hospitals | |
INDIAN PATH COMMUNITY HOSPITAL | 2000 BROOKSIDE DR KINGSPORT, TN 37660 | (423) 431-1941 | Acute Care Hospitals |
Reviews for MRS. MADONNA L BANKS APRN
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 1 | 8 | 4 | 0 | 5 | 3 | 4 | 7 | 2 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 1 | 16 | 4 | 0 | 5 | 6 | 4 | 14 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 1 + 1 + 6 + 4 + 0 + 5 + 6 + 4 + 1 + 4 + 24 = 58 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 58 = 2 | 2 |
The NPI number 1184053472 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1851424642 | DEBRA MCCLELLAN LDN Individual | Dietitian, Registered | 301 MED TECH PKWY STE 240 JOHNSON CITY, TN 37604 (423) 794-5520 |
1932513322 | MONIQUE RICHARD MS, RDN, LDN Individual | Dietitian, Registered | 301 MED TECH PKWY STE 240 JOHNSON CITY, TN 37604 (423) 794-5520 |
1366471641 | RACHEL E KEYT PA Individual | Physician Assistant | 301 MED TECH PKWY STE 240 JOHNSON CITY, TN 37604 (423) 794-5520 |
1912138124 | MR. JAMES C HOPE APN, CCRN, ACNP-BC Individual | Nurse Practitioner (Acute Care) | 301 MED TECH PKWY STE 240 JOHNSON CITY, TN 37604 (423) 794-5520 |
1780816447 | DR. AUDREY L CAMPBELL DO Individual | Internal Medicine | 301 MED TECH PKWY STE 240 JOHNSON CITY, TN 37604 (423) 794-5520 |
1205390747 | JUDITH L DAY FNP Individual | Nurse Practitioner | 301 MED TECH PKWY STE 240 JOHNSON CITY, TN 37604 (423) 794-5520 |
1568926004 | MRS. MARY J SHEPHARD RD, RDN, LDN Individual | Dietitian, Registered | 301 MED TECH PKWY STE 240 JOHNSON CITY, TN 37604 (423) 794-5520 |
1437670437 | TAMMY M WILHOIT NP Individual | Nurse Practitioner (Family) | 301 MED TECH PKWY STE 240 JOHNSON CITY, TN 37604 (423) 794-5520 |
1689198186 | ANDREA C LONG PHARMD Individual | Pharmacist (Ambulatory Care) | 301 MED TECH PKWY STE 240 JOHNSON CITY, TN 37604 (423) 794-5520 |
1396908430 | DR. BRANDON K MOORE DO Individual | Internal Medicine | 301 MED TECH PKWY STE 240 JOHNSON CITY, TN 37604 (423) 794-5520 |
1699905778 | DR. SULLEMAN MALIK MD Individual | Internal Medicine | 301 MED TECH PKWY STE 240 JOHNSON CITY, TN 37604 (423) 794-5520 |
1891006672 | DR. MARK A MCCOMMONS MD Individual | Internal Medicine | 301 MED TECH PKWY STE 240 JOHNSON CITY, TN 37604 (423) 794-5520 |
1609175512 | CAROLE WHITE FNP Individual | Nurse Practitioner (Family) | 301 MED TECH PKWY STE 240 JOHNSON CITY, TN 37604 (423) 794-5520 |
1871088625 | RITA M TRIVETTE NP Individual | Nurse Practitioner (Gerontology) | 301 MED TECH PKWY STE 240 JOHNSON CITY, TN 37604 (423) 794-5520 |
1215347240 | DR. TARA S SHIELDS MD Individual | Internal Medicine | 301 MED TECH PKWY STE 240 JOHNSON CITY, TN 37604 (423) 794-5520 |
1912429317 | JACOB W OLIVER NP Individual | Nurse Practitioner | 301 MED TECH PKWY STE 240 JOHNSON CITY, TN 37604 (423) 794-5520 |
1760999247 | SHANNON M NELMS FNP-C Individual | Nurse Practitioner | 301 MED TECH PKWY STE 240 JOHNSON CITY, TN 37604 (423) 794-5520 |
1649704412 | GORICA SVALINA MD Individual | Internal Medicine | 301 MED TECH PKWY STE 240 JOHNSON CITY, TN 37604 (423) 794-2457 |
1528673225 | MARY L TRENDA RD Individual | Dietitian, Registered | 301 MED TECH PKWY STE 240 JOHNSON CITY, TN 37604 (423) 794-5520 |
1437473618 | ASHLEY S BAILEY FNP Individual | Nurse Practitioner (Family) | 301 MED TECH PKWY STE 240 JOHNSON CITY, TN 37604 (423) 794-5520 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184053472, enumerated in the NPI registry as an "individual" on November 06, 2013
The provider is located at 301 Med Tech Pkwy Ste 240 Johnson City, Tn 37604 and the phone number is (423) 794-5520
The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
The provider has more than 14 years of experience. She graduated from East Tennessee State University Quillen College Of Medicine in 2012.
The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Medicare beneficiaries should expect a typical cost of $81.53 with an average copayment of $20.38 for new patient appointments. Established patients should expect a typical charge of $93.6 and an average copayment of 23.4. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Follow-up hospital inpatient care per day, typically 35 minutes, Hospital discharge day management, more than 30 minutes, Initial hospital inpatient care per day, typically 70 minutes and Initial hospital observation care per day, typically 70 minutes.
The practitioner is affiliated to the following hospital(s): WELLMONT HOLSTON VALLEY MEDICAL CENTER and INDIAN PATH COMMUNITY HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on November 06, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.