BECKA I BANNON (PA) – Physician Assistant, NPI 1073038899
Physician Assistant
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for BECKA I BANNON (PA)
PO BOX 485
DANVILLE, IN 461220485
Phone: (317) 745-6139
Fax: (317) 745-7873
Type: Mailing
1000 E Main St
Danville, IN 461221948
Phone: (317) 745-6139
Fax: (317) 745-7873
Type: Location
8244 E US Highway 36 Ste 1100
Avon, IN 461239627
Phone: (317) 272-7500
Fax: (317) 272-7515
Type: Location
Hendricks Regional Health, 1000, East Main Street, Danville, Hendricks County, Indiana, 46122, United States
DANVILLE, IN 461221948
Phone: (317) 745-6139
Fax: (317) 745-7873
Type: Location
4537 S NUCOR RD
CRAWFORDSVILLE, IN 479337969
Phone: (765) 362-3579
Fax: (877) 558-9529
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $400.
Total Amount is formed as General ($400) + Research ($0) + Ownership ($0) = $400.
Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Novo Nordisk Inc ($158).
Total Amount
$400
General + Research + Ownership
Payments
25
Total payment records
General Amount
$400
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $158 |
| Corcept Therapeutics | $109 |
| ABBVIE INC. | $50 |
| IDORSIA PHARMACEUTICALS US INC | $42 |
| Halozyme Inc | $14 |
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: 2017-09-14
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 |
|---|---|---|---|---|
| I20170914002569 | I | Physician Assistant | IN | 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 46122)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| - | IN | |
| - | IN | |
| Family Practice | IN | |
| Nurse Practitioner | IN | |
| Emergency Medicine | IN | |
| - | IN | |
| - | IN | |
| Internal Medicine, Pediatric Medicine | IN | |
| Physician Assistant | IN |
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