DR. DANUTA FABISIAK (PA) – Psychiatry Physician, NPI 1790773901

DR. DANUTA FABISIAK (PA) is a healthcare provider. based in Bradenton, Florida. specializing in PSYCHIATRY. They hold the professional credentials PA. They hold a License No. 8474 (FL). The NPI Number for DR. DANUTA FABISIAK (PA) is 1790773901

Main info

Female
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. DANUTA FABISIAK (PA)
NPI
1790773901
Phone
(941) 795-7222
Address
2110 58TH ST W
Enumeration Date
11 October 2005
Last Update Date
6 December 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9417957222
Graduation Year
1995 (31 years ago)
PAC ID
8921906835
Group Practice PAC ID
2163667452
Professional Enrollment ID
I20031230000011
Address ID
FL342095660BR2110XSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,953 PSYCHIATRY in FL

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Provider Addresses for DR. DANUTA FABISIAK (PA)

  • 2110, 58th Street West, Bradenton, Manatee County, Florida, 34209, United States

    BRADENTON, FL 342095660

    Phone: (941) 795-7222

    Fax: (941) 795-7335

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2003-12-30

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20031230000011IPsychiatryFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99215Established patient office or other outpatient visit, 40-54 minutes21787$0
90833Psychotherapy with evaluation and management visit, 30 minutes196115$0
99214Established patient office or other outpatient visit, 30-39 minutes161104$0
90836Psychotherapy with evaluation and management visit, 45 minutes2723$0
View full utilization report →

Insurance plans in this area (ZIP 34209)

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Provider's Procedures

DR. DANUTA FABISIAK (PA) performs procedures in PSYCHIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYFL90833Psychotherapy, 30 minutes with patient and/or family member1511
PSYCHIATRYFL90836Psychotherapy, 45 minutes with patient and/or family member728168

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163667452View full group profile
NameSpecialtyState
Nurse PractitionerFL

Reviews

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Frequently asked questions

Is DR. DANUTA FABISIAK (PA) listed with a National Provider Identifier?
Yes — DR. DANUTA FABISIAK (PA) has NPI 1790773901 on file in the registry.
Is there an active status for DR. DANUTA FABISIAK (PA)?
For scheduling context, DR. DANUTA FABISIAK (PA) is shown as active in the registry.
What area of care is associated with DR. DANUTA FABISIAK (PA)?
DR. DANUTA FABISIAK (PA)'s record emphasizes Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is DR. DANUTA FABISIAK (PA) associated with Bradenton?
Public fields place DR. DANUTA FABISIAK (PA) around Bradenton, Florida. Always confirm the exact site before visiting.
Does DR. DANUTA FABISIAK (PA) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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