PAMELA M. BANERJEE (APNP) – Registered Nurse, NPI 1457546681
Registered Nurse
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PAMELA M. BANERJEE (APNP)
101 CASHEL MARA DR
PANAMA CITY, FL 324091530
Phone: (706) 331-6795
Type: Mailing
1000 N OAK AVE
MARSHFIELD, WI 544495703
Phone: (715) 387-9177
Type: Location
5010, Glenrose Court, Tallahassee, Leon County, Florida, 32309, United States
TALLAHASSEE, FL 323092701
Phone: (715) 387-5511
Type: Mailing
Marshfield Clinic Weston Center, 3501, Cranberry Boulevard, Weston Medical Center, Village of Weston, Marathon County, Wisconsin, 54476, United States
WESTON, WI 54476
Phone: (715) 393-1000
Type: Location
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: 2018-12-03
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 |
|---|---|---|---|---|
| I20110329000545 | I | Nurse Practitioner | WI | TBD |
| I20181203003171 | 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 32409)
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