BANDANA BASHYAL (FNP) – Family Nurse Practitioner, NPI 1396317467

Family Nurse Practitioner

BANDANA BASHYAL (FNP) is a healthcare provider. based in Centreville, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 0024182121 (VA). The NPI Number for BANDANA BASHYAL (FNP) is 1396317467

Main info

Female

5 Years Of Experience

Accepts Medicare Assignment

Name

BANDANA BASHYAL (FNP)

NPI

1396317467

Phone

(703) 266-2442

Address

5645 STONE RD

Enumeration Date

16 July 2021

Last Update Date

11 March 2025

Doctor Profile

Medical School Name

OTHER

Secondary Phone

7032662442

Graduation Year

2021 (5 years ago)

PAC ID

8921496415

Group Practice PAC ID

5193624773

Professional Enrollment ID

I20211103000604

Address ID

VA201201618CE5645XRDXX300

Contacts

Other Endpoint

www.cvshealth.com

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience32

Completeness85

Years active:4State licenses:1Other namesUpdated within 12 months

8,303 NURSE PRACTITIONER in VA

Provider Addresses for BANDANA BASHYAL (FNP)

5645 STONE RD
CENTREVILLE, VA 201201618
Phone: (703) 266-2442
Type: Mailing
3921 PROSPERITY AVE
FAIRFAX, VA 220313329
Phone: (703) 280-0237
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-11-03

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

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
I20211103000604	I	Nurse Practitioner	DC	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.

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 20120)

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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: 5193624773View full group profile

Name	Specialty	State
DR. COURTNEY KATHERINE RYAN (MD)	Family Practice	VA
MS. ABIGAIL CRISMAN HO (FNP-C)	Nurse Practitioner	VA
ROBERT C MANCINI (MD)	Family Practice	VA
DR. FELICIA TANNER PINN (DNP, RN, FNP-BC)	Nurse Practitioner	VA
DR. SANDOR SHAWN NIEMANN (MD)	Family Practice	VA