MICHELLE M BANDURKA (CNP) – Family Nurse Practitioner, NPI 1619093366
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,243 NURSE PRACTITIONER in FL
Provider Addresses for MICHELLE M BANDURKA (CNP)
116 EAST AVE
SUITE 3
TALLMADGE, OH 442782300
Phone: (330) 633-7782
Fax: (330) 633-4701
Type: Mailing
941 W MORSE BLVD STE 100
WINTER PARK, FL 327893781
Phone: (321) 207-9029
Type: Location
601 S HARBOUR ISLAND BLVD STE 200
TAMPA, FL 336025925
Phone: (727) 322-3439
Fax: (800) 928-7449
Type: Mailing
3311 DANIELS RD STE 104
WINTER GARDEN, FL 347877000
Phone: (407) 743-0351
Fax: (407) 743-0352
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 35 Open Payments records for all available years, with a total value of $694.
Total Amount is formed as General ($694) + Research ($0) + Ownership ($0) = $694.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($92).
Total Amount
$694
General + Research + Ownership
Payments
35
Total payment records
General Amount
$694
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bayer Healthcare Pharmaceuticals Inc. | $92 |
| AstraZeneca Pharmaceuticals LP | $69 |
| Amgen Inc. | $68 |
| ABBVIE INC. | $46 |
| Novo Nordisk Inc | $46 |
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: 2017-08-24
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 |
|---|---|---|---|---|
| I20170824001745 | I | Nurse Practitioner | FL | 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 44278)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Practice | FL | |
| Physician Assistant | FL | |
| Family Practice | FL | |
| Nurse Practitioner | FL | |
| General Practice | FL | |
| General Practice | FL | |
| Physician Assistant | FL | |
| General Practice | FL | |
| General Practice, Family Practice | FL | |
| Family Practice | FL |
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