GRACE T BANACH (PA) – Physician Assistant, NPI 1518589233

GRACE T BANACH (PA) is a healthcare provider. based in Wichita, Kansas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 15-02374 (KS). The NPI Number for GRACE T BANACH (PA) is 1518589233

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
GRACE T BANACH (PA)
NPI
1518589233
Phone
(316) 612-4815
Address
1921 N WEBB RD
Enumeration Date
15 May 2020
Last Update Date
28 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
31661248151280
Graduation Year
2020 (6 years ago)
PAC ID
7810307709
Group Practice PAC ID
6800881194
Professional Enrollment ID
I20201104001191
Address ID
KS672063405WI1921XRDXX400

Contacts

Secure Messaging
direct.cardiovascularconsultantsofks@ccme.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

1,303 PHYSICIAN ASSISTANT in KS

Provider Addresses for GRACE T BANACH (PA)

  • 1921 N WEBB RD

    WICHITA, KS 672063405

    Phone: (316) 612-4815

    Fax: (316) 612-4825

    Type: Mailing

  • 9350 E 35TH ST N STE 101

    WICHITA, KS 672262022

    Phone: (316) 265-1308

    Fax: (316) 265-4480

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 164 Open Payments records for all available years, with a total value of $3,406.

Total Amount is formed as General ($3,406) + Research ($0) + Ownership ($0) = $3,406.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($726).

Total Amount

$3,406

General + Research + Ownership

Payments

164

Total payment records

General Amount

$3,406

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2020-11-04

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
I20201104001191IPhysician AssistantKSTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes7065$0
99213Established patient office or other outpatient visit, 20-29 minutes4140$0
View full utilization report →

Insurance plans in this area (ZIP 67206)

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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: 6800881194View full group profile
NameSpecialtyState
R H E U M A T O L O G YFL
Rheumatology, Internal MedicineKS
-KS
Physician AssistantKS
Rheumatology, Internal MedicineKS
R H E U M A T O L O G YKS
Rheumatology, Internal MedicineKS
Physician AssistantKS
Rheumatology, Internal MedicineNE
Rheumatology, Internal MedicineKS

Reviews

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Frequently asked questions

What is the 10-digit NPI for GRACE T BANACH (PA)?
GRACE T BANACH (PA) — NPI 1518589233 — is the standard way to identify this listing.
Can I rely on GRACE T BANACH (PA) being an active provider?
As of the registry snapshot, GRACE T BANACH (PA) is marked active.
What is GRACE T BANACH (PA)'s specialty?
The listing groups GRACE T BANACH (PA) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect GRACE T BANACH (PA) on a map?
Expect Wichita, Kansas as a primary anchor for GRACE T BANACH (PA) unless the record lists multiple sites.
Is the information about GRACE T BANACH (PA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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