Active NPI 1770986010 Individual Practitioner Female Practitioner

Melanie L. Banal , NP-C

Nurse Practitioner • Breese, IL

Professional Overview & Biography Verified Profile Summary

Melanie Banal, NP-C is a certified Nurse Practitioner practicing in Breese, IL. With approximately 12 years of clinical experience since completing medical education in 2014, Melanie Banal delivers high-quality medical care to the local community at 14160 JAMESTOWN RD.

Melanie Banal is affiliated with Ahs Il Medical Group Llc and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of fingernails or toenails, injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

14160 Jamestown Rd

Breese, IL 622303694

Telephone 6185267154

Fax 6185268248

Associated Practice Facility / Clinic

🏢 Competitive Edge Sports Medicine Facility NPI 1104000561

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Breese, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs +2.5 yrs vs City Avg

City Avg: 9.5 Yrs

State Avg: 10.4 Yrs

Regional Practice Density

13 Specialists

Practicing in Breese, IL (4929 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Banal (12 Years) 12 Yrs

Breese Specialty Average (9.5 Years) 9.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	16	$229.64	$111.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	249	146	$147.61	$75.53
11721 Removal of fingernails or toenails, 6 or more nails	146	82	$102.00	$36.87
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	86	27	$13.00	$6.55
11720 Removal of fingernails or toenails, 1-5 nails	84	56	$74.00	$27.40
11719 Trimming of fingernails or toenails	63	34	$51.00	$8.81
11056 Removal of noncancer thickened skin growth, 2-4 growths	57	36	$143.04	$67.04
11055 Removal of single thickened skin growth	55	42	$121.60	$58.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$209.00	$94.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	37	$221.00	$106.99
29540 Placement of strapping to ankle or foot	37	34	$112.00	$24.64
20550 Injection into tendon or ligament	23	12	$193.00	$52.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$320.08	$140.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	205	119	$135.00	$76.58
11721 Removal of fingernails or toenails, 6 or more nails	113	73	$102.00	$37.28
11720 Removal of fingernails or toenails, 1-5 nails	79	58	$74.00	$27.61
11056 Removal of noncancer thickened skin growth, 2-4 growths	46	33	$139.00	$69.15
11719 Trimming of fingernails or toenails	43	27	$51.00	$8.99
11055 Removal of single thickened skin growth	37	28	$116.00	$60.43
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	35	15	$13.00	$6.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	26	$201.00	$108.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$203.00	$96.22
29540 Placement of strapping to ankle or foot	23	21	$116.87	$24.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	20	$81.00	$48.27

Medical Specialties & State Licenses

CMS Verified: 2022-03-22

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209011871

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Ahs Il Medical Group Llc

2044 Madison Ave, Granite City, IL 620404641

Phone: 6184511500

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. Austin Mueller , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1245963008

Doctor of Podiatric Medicine

Dr. Carl Painter , MD

Orthopaedic Surgery

NPI 1689669111

Doctor of Medicine (M.D.)

Dr. David Kee , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1992772289

Doctor of Podiatric Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events

📍

Updated Practice Location March 22, 2022

Registered at 14160 JAMESTOWN RD, BREESE, IL 622303694 (Tel: 6185267154)

📍

Updated Business Mailing Address March 22, 2022

Registered at 14160 JAMESTOWN RD, BREESE, IL 622303694 (Tel: 6185267154)

📍

Updated Practice Location May 19, 2020

Registered at 9401 HOLY CROSS LN STE 112, BREESE, IL 622303510 (Tel: 6185267271)

📍

Updated Business Mailing Address May 19, 2020

Registered at 9401 HOLY CROSS LN STE 112, BREESE, IL 622303510 (Tel: 6185267271)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2020

Nurse Practitioner (License #209011871 in IL)

📍

Updated Practice Location August 16, 2018

Registered at 4 MEMORIAL DR # 210, ALTON, IL 62002 (Tel: 6184635905)

📍

Updated Business Mailing Address August 16, 2018

Registered at 4 MEMORIAL DR # 210, ALTON, IL 620026751 (Tel: 6184635905)

✅

NPI Profile Active October 01, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location October 01, 2014

Registered at 550 LANDMARKS BLVD, ALTON, IL 620026321 (Tel: 6184635905)

📍

Updated Business Mailing Address October 01, 2014

Registered at 550 LANDMARKS BLVD, ALTON, IL 620026321 (Tel: 6184635905)

👤

Provider Name / Credentials Updated October 01, 2014

Recorded as MELANIE BANAL, NP-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2014

Nurse Practitioner (License #209011871 in IL)

🟢

Initial NPI Registration & Enumeration October 01, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Melanie Banal. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1770986010

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 01, 2014

Last Update: March 22, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

14160 Jamestown Rd

Breese, IL 622303694

Phone: 6185267154

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.