CYNTHIA BANWELL – Psychiatry Physician, NPI 1124704911

CYNTHIA BANWELL is a healthcare provider. based in Fort worth, Texas. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA16876 (TX). The NPI Number for CYNTHIA BANWELL is 1124704911

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
CYNTHIA BANWELL
NPI
1124704911
Phone
(817) 739-8034
Address
3621 HORACE AVE
Enumeration Date
26 June 2023
Last Update Date
26 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2814692181
Graduation Year
2023 (3 years ago)
PAC ID
6002258332
Group Practice PAC ID
2769567932
Professional Enrollment ID
I20240531001014
Address ID
TX770654774HO9601XRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for CYNTHIA BANWELL

  • 3621 HORACE AVE

    FORT WORTH, TX 76244

    Phone: (817) 739-8034

    Type: Mailing

  • 9601 JONES ROAD SUITE 238

    HOUSTON, TX 77095

    Phone: (281) 779-4718

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 69 Open Payments records for all available years, with a total value of $1,352.

Total Amount is formed as General ($1,352) + Research ($0) + Ownership ($0) = $1,352.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($429).

Total Amount

$1,352

General + Research + Ownership

Payments

69

Total payment records

General Amount

$1,352

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2024-05-31

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
I20240531001014IPhysician AssistantTXTBD

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 76244)

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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: 2769567932View full group profile
NameSpecialtyState
Physician AssistantTX
Physician AssistantNY
P S Y C H I A T R YTX
Physician AssistantTX
Physician AssistantTX
Physician AssistantTX
-TX
P S Y C H I A T R YTX
P S Y C H I A T R YNY
-TX

Reviews

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Frequently asked questions

Does CYNTHIA BANWELL have a public NPI I can cite?
Public records show CYNTHIA BANWELL under NPI 1124704911.
Quick check: is CYNTHIA BANWELL active?
Public NPPES data shows CYNTHIA BANWELL with an active NPI status right now.
What type of care does CYNTHIA BANWELL provide?
CYNTHIA BANWELL's profile centers on Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to CYNTHIA BANWELL?
CYNTHIA BANWELL is associated with Fort Worth, Texas in the same public data insurers reference.
Why is information missing for CYNTHIA BANWELL?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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