GREGORY DAVID BELLANCA (NP) – Family Nurse Practitioner, NPI 1164710414
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,989 NURSE PRACTITIONER in OH
Provider Addresses for GREGORY DAVID BELLANCA (NP)
6900 ALDEN DR
MTF
WARREN AFB, WY 82005
Phone: (307) 773-1450
Type: Mailing
4881 SUGAR MAPLE DR
WPAFB, OH 45433
Phone: (850) 865-0088
Type: Location
4881 Sugar Maple Dr
Wpafb, OH 45433
Phone: (850) 865-0088
Type: Location
725 UNIVERSITY BLVD
BEAVERCREEK, OH 453242640
Phone: (937) 245-7200
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: 2024-02-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20211221002416 | I | Nurse Practitioner | OH | TBD |
| I20240223001998 | I | Nurse Practitioner | PA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 316 | 62 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 97 | 62 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 36 | 36 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 24 | 23 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 82005)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | PA | |
| P S Y C H I A T R Y | PA | |
| Nephrology, Internal Medicine | PA | |
| P S Y C H I A T R Y | ND | |
| Family Practice | PA | |
| P S Y C H I A T R Y | PA | |
| Nurse Practitioner | NY | |
| Internal Medicine, Preventive Medicine | PA | |
| General Practice, Anesthesiology | PA | |
| P S Y C H I A T R Y | PA |
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