Mary Bannon, NP
NPI 1043392590 · Gerontology Nurse Practitioner · Waltham, MA
Mary Bannon, NP is a Gerontology Nurse Practitioner provider in Waltham, MA (NPI 1043392590).
Provider details
- NPI number
- 1043392590
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 158347 (MA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-20
- Last updated
- 2017-07-28
Frequently asked questions
- What is Mary Bannon's NPI number?
- Mary Bannon's National Provider Identifier (NPI) is 1043392590, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Bannon's specialty?
- Mary Bannon is listed in the NPPES registry with a primary specialty of Gerontology Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mary Bannon located?
- Mary Bannon's practice location on file with NPPES is 671 Main St, Waltham, MA 02451-0602.
- What is Mary Bannon's phone number?
- The practice phone number listed in the NPPES registry for Mary Bannon is (781) 647-3040.
- Is Mary Bannon's NPI active?
- Yes — Mary Bannon's NPI (1043392590) is active in the NPPES registry as of the last update on 2017-07-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.