Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dallas Banner, NP

Individual provider Urology Registered Nurse · NPI 1033763537

Dallas Banner, NP is a Nurse Practitioner in Raleigh, North Carolina. Qualified in 2019, 7 years ago. Practices with Wakemed Specialists Group LLC, a 869-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
7
Licensed in
NC
In the registry since
2019
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone: (919) 350-8114
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5012314 (NC)
Urology Registered Nurse Taxonomy 163WU0100X · Licence 259156 (NC)
Urology Physician Taxonomy 208800000X · Licence 5012314 (NC)

Record details

NPI number1033763537
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 1, 2019
Last updated in NPPESOctober 7, 2024
Certification dateOctober 7, 2024
Mailing address5115 Park Rd Apt 302, Charlotte, NC 28209-3820

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Wakemed Specialists Group Llc — 869 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount