Theresa Newbanks, NP
NPI 1528460847 · Family Nurse Practitioner · Clinton, MO
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theresa Newbanks, NP is a Family Nurse Practitioner provider in Clinton, MO (NPI 1528460847).
Provider details
- NPI number
- 1528460847
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 2014034217 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
11 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
190 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. 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 .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 69 | $89 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 62 | $61 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 33 | $92 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 26 | $139 |
Typical Medicare-allowed amounts for these services range $61–$139 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 16 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Metoprolol Tartrate | 52 | — |
| Atorvastatin Calcium | 44 | 12 |
| Apixabanbrand: Eliquis | 42 | 13 |
| Amlodipine Besylate | 34 | — |
| Furosemide | 29 | 12 |
| Cefdinir | 21 | 21 |
| Losartan Potassium | 20 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$31 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (3)
- 900 N Washington StDu Quoin, IL 62832-1233Phone: (618) 542-2146
- 626 School StJefferson City, MO 65101-3358Phone: (573) 746-0741
- 1000 Carondelet DrKansas City, MO 64114-4673Phone: (816) 943-4758
Registry dates
- Enumerated
- 2014-09-17
- Last updated
- 2024-03-13
- Certified
- 2024-03-13
Frequently asked questions
- What is Theresa Newbanks's NPI number?
- Theresa Newbanks's National Provider Identifier (NPI) is 1528460847, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theresa Newbanks's specialty?
- Theresa Newbanks is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Theresa Newbanks located?
- Theresa Newbanks's practice location on file with NPPES is 1600 N 2nd St, Clinton, MO 64735-1192.
- What is Theresa Newbanks's phone number?
- The practice phone number listed in the NPPES registry for Theresa Newbanks is (660) 885-5511.
- Does Theresa Newbanks accept Medicare?
- Theresa Newbanks is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theresa Newbanks's NPI active?
- Yes — Theresa Newbanks's NPI (1528460847) is active in the NPPES registry as of the last update on 2024-03-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.