Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Ombatsa Banks, PMHMP-C

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1164246278

Mary Ombatsa Banks, PMHMP-C is a Nurse Practitioner in Little Rock, Arkansas. Qualified in 2024, 2 years ago. Practices with Supportive Psych Care of Arkansas PA, a 40-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
2
Licensed in
AR
In the registry since
2024
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Practice location Address checks out

401 W Capitol Ave Ste 1700
Little Rock, AR 72201-3421
Phone: (501) 353-7110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 232176 (AR)

Record details

NPI number1164246278
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHMP-C
Sole proprietorYes
NPI enumeratedNovember 14, 2024
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Supportive Psych Care Of Arkansas Pa — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Little Rock