TANYA ANN BANNERMAN (MSN, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1497446496

TANYA ANN BANNERMAN (MSN, PMHNP-BC) is a healthcare provider. based in Midland, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, PMHNP-BC. They hold a License No. 4704311189 (MI). The NPI Number for TANYA ANN BANNERMAN (MSN, PMHNP-BC) is 1497446496

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
TANYA ANN BANNERMAN (MSN, PMHNP-BC)
NPI
1497446496
Phone
(989) 488-0936
Address
3600 N SAGINAW RD
Enumeration Date
19 May 2023
Last Update Date
7 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9895107626
Graduation Year
2024 (2 years ago)
PAC ID
1254878333
Group Practice PAC ID
4082843412
Professional Enrollment ID
I20240807001412
Address ID
MI486402301MI3600XRDXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

Provider Addresses for TANYA ANN BANNERMAN (MSN, PMHNP-BC)

  • 3600 N SAGINAW RD

    MIDLAND, MI 486402301

    Phone: (989) 488-0936

    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)

CMS reports 16 Open Payments records for all available years, with a total value of $351.

Total Amount is formed as General ($351) + Research ($0) + Ownership ($0) = $351.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($142).

Total Amount

$351

General + Research + Ownership

Payments

16

Total payment records

General Amount

$351

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2024-08-07

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
I20240807001412INurse PractitionerMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48640)

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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: 4082843412View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Family Practice, General PracticeMI
Nurse PractitionerMI
-MI
Mental Health CounselorMI
Nurse PractitionerMI
Clinical PsychologistMI
Clinical PsychologistNY
Mental Health CounselorMI
Clinical PsychologistMI

Reviews

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Frequently asked questions

Does TANYA ANN BANNERMAN (MSN, PMHNP-BC) have a public NPI I can cite?
Public records show TANYA ANN BANNERMAN (MSN, PMHNP-BC) under NPI 1497446496.
Is TANYA ANN BANNERMAN (MSN, PMHNP-BC)'s NPI status active today?
Active status means TANYA ANN BANNERMAN (MSN, PMHNP-BC)'s NPI record is not deactivated in the public file.
What type of care does TANYA ANN BANNERMAN (MSN, PMHNP-BC) provide?
TANYA ANN BANNERMAN (MSN, PMHNP-BC)'s profile centers on Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to TANYA ANN BANNERMAN (MSN, PMHNP-BC)?
TANYA ANN BANNERMAN (MSN, PMHNP-BC) is associated with Midland, Michigan in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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