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

Kaysie Lynn Banton, MD

Individual provider Surgery Physician · NPI 1093858607

Kaysie Lynn Banton, MD is a General Surgery in Minneapolis, Minnesota. Graduated from University of New Mexico School of Medicine in 2001, 25 years ago. Practices with Tacs Colorado, a 14-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
25
Trained at
University of New Mexico School of Medicine
Licensed in
MN
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

909 Fulton St SE
Minneapolis, MN 55455-4800
Phone: (612) 672-7422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 46661 (MN)

Record details

NPI number1093858607
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 14, 2007
Last updated in NPPESJune 30, 2017
Mailing address720 Washington Ave Se, Minneapolis, MN 55414-2924

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice Tacs Colorado — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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