BRANDON PANKIEWICZ – Psychiatric/Mental Health Nurse Practitioner, NPI 1255980058

BRANDON PANKIEWICZ is a healthcare provider. based in Everett, Massachusetts. specializing in NURSE PRACTITIONER. They hold a License No. SP022008 (PA). The NPI Number for BRANDON PANKIEWICZ is 1255980058

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
BRANDON PANKIEWICZ
NPI
1255980058
Phone
Not provided
Address
173 CHELSEA ST
Enumeration Date
5 September 2019
Last Update Date
28 May 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7173900353
Graduation Year
2020 (6 years ago)
PAC ID
5991127144
Group Practice PAC ID
1052201571
Professional Enrollment ID
I20200617002107
Address ID
PA176015824LA1902XLANE400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

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Provider Addresses for BRANDON PANKIEWICZ

  • 173, Chelsea Street, Everett, Middlesex County, Massachusetts, 02149, United States

    EVERETT, MA 021494632

    Phone:

    Type: Mailing

  • 1902, Olde Homestead Lane, Lancaster County, Pennsylvania, 17601, United States

    LANCASTER, PA 176015875

    Phone: (717) 390-0353

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 237 Open Payments records for all available years, with a total value of $4,199.

Total Amount is formed as General ($4,199) + Research ($0) + Ownership ($0) = $4,199.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($653).

Total Amount

$4,199

General + Research + Ownership

Payments

237

Total payment records

General Amount

$4,199

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

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: 2020-06-17

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
I20200617002107INurse PractitionerPATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes16076$0
99214Established patient office or other outpatient visit, 30-39 minutes14961$0
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional4618$0
99215Established patient office or other outpatient visit, 40-54 minutes4612$0
View full utilization report →

Insurance plans in this area (ZIP 02149)

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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: 1052201571View full group profile
NameSpecialtyState
Marriage And Family TherapistPA
P S Y C H I A T R YPA
-PA
Mental Health CounselorPA
Nurse PractitionerPA
Mental Health CounselorPA
Nurse PractitionerPA
-PA
Clinical PsychologistPA
Clinical Social WorkerPA

Reviews

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Frequently asked questions

How is BRANDON PANKIEWICZ identified in CMS data?
CMS-hosted NPPES data lists BRANDON PANKIEWICZ with NPI 1255980058.
Does CMS list BRANDON PANKIEWICZ as active?
Yes — BRANDON PANKIEWICZ is active in the NPI listing used on this page.
What taxonomy line describes BRANDON PANKIEWICZ?
For research purposes, treat BRANDON PANKIEWICZ as Psychiatric/Mental Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is BRANDON PANKIEWICZ based?
BRANDON PANKIEWICZ is tied to Everett, Massachusetts in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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