MRS. WENDY MARISOL BANSAL (PA-C) – Medical Physician Assistant, NPI 1689851537
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,232 PHYSICIAN ASSISTANT in FL
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Provider Addresses for MRS. WENDY MARISOL BANSAL (PA-C)
1988 GULF TO BAY BLVD
CLEARWATER, FL 337653550
Phone: (727) 953-8090
Fax: (727) 677-0249
Type: Mailing
Little Road, Trinity, Pasco County, Florida, 34655, United States
#162
TRINITY, FL 346551864
Phone: (727) 345-9615
Fax: (877) 327-0389
Type: Mailing
Indian Rocks Road, Largo, Pinellas County, Florida, 33774, United States
LARGO, FL 337741035
Phone: (727) 345-9615
Type: Location
3152 LITTLE RD # 162
TRINITY, FL 346551864
Phone: (727) 345-9615
Fax: (727) 677-0249
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $723.
Total Amount is formed as General ($723) + Research ($0) + Ownership ($0) = $723.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Stryker Corporation ($472).
Total Amount
$723
General + Research + Ownership
Payments
14
Total payment records
General Amount
$723
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $472 |
| Coastal Medical Technologies LLC | $117 |
| Ethicon US, LLC | $67 |
| Coastal Medical Technologies Llc | $37 |
| ACUMED LLC | $30 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2014-07-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140730001380 | I | Physician Assistant | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33765)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Orthopedic Surgery | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | TX | |
| Nurse Practitioner | FL | |
| - | FL | |
| Orthopedic Surgery | FL | |
| Nurse Practitioner | FL | |
| Orthopedic Surgery, Sports Medicine | FL | |
| N E U R O S U R G E R Y | FL |
Reviews
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