MS. BRILYN MICHELLE BANISTER PA-C
NPI 1124634936
Physician Assistant - Medical in Indianapolis, IN

Active since September 17, 2020PECOS EnrolledAccepts Medicare Assignment
90.14/100
CMS Quality Rating
1402 E COUNTY LINE RD STE 2400, INDIANAPOLIS, IN 46227(317) 887-7880 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 12, 2026, Jan 22, 2021, Sep 17, 2020 (3 updates tracked since 2020).

About Ms. Brilyn Michelle Banister Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. BRILYN MICHELLE BANISTER PA-C (NPI 1124634936) is an individual medical provider in Indianapolis, Indiana, licensed in Indiana (10003071A) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Seymour, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1124634936
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. BRILYN MICHELLE BANISTERCredential: PA-C
Location Address1402 E COUNTY LINE RD STE 2400Indianapolis, IN 46227-0963
Mailing Address6626 E 75th St Ste 500Indianapolis, IN 46250-2890 · (317) 621-7547
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 17, 2020
Last NPPES UpdateMay 12, 20263 updates tracked since enumeration
NPPES CertifiedMay 12, 2026
NPI 1124634936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in IN · 10003071A
1402 E COUNTY LINE RD STE 2400, Indianapolis, IN 46227

Secondary Practice Location 1

Location 1100 N Walnut StSeymour, IN 47274-2192 · Phone (812) 523-5185 · Fax (812) 523-3826

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Brilyn Michelle Banister Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496151052
PECOS Enrollment IDI20210907001595
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.14
Promoting Interoperability93.3
Improvement Activities40

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Clinical Cardiac Electrophysiology)
1402 E COUNTY LINE RD STE 2400
INDIANAPOLIS, IN 46227
Internal Medicine (Interventional Cardiology)
1402 E COUNTY LINE RD STE 2400
INDIANAPOLIS, IN 46227
Nurse Practitioner (Gerontology)
1402 E COUNTY LINE RD STE 2400
INDIANAPOLIS, IN 46227
Nurse Practitioner
1402 E COUNTY LINE RD STE 2400
INDIANAPOLIS, IN 46227
Internal Medicine (Clinical Cardiac Electrophysiology)
1402 E COUNTY LINE RD STE 2400
INDIANAPOLIS, IN 46227
Nurse Practitioner (Family)
1402 E COUNTY LINE RD STE 2400
INDIANAPOLIS, IN 46227
Nurse Practitioner
1402 E COUNTY LINE RD STE 2400
INDIANAPOLIS, IN 46227
Internal Medicine (Clinical Cardiac Electrophysiology)
1402 E COUNTY LINE RD STE 2400
INDIANAPOLIS, IN 46227

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brilyn Banister's NPI number?

The NPI number for Brilyn Banister is 1124634936. It was assigned to this individual provider in the NPPES registry on September 17, 2020.

Where is Brilyn Banister located?

Brilyn Banister practices at 1402 E County Line Rd Ste 2400, Indianapolis, IN 46227. The listed phone number is (317) 887-7880.

What is Brilyn Banister's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Brilyn Banister enrolled in Medicare?

Yes. Brilyn Banister is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Brilyn Banister accept?

Health plans from CareSource list Brilyn Banister as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brilyn Banister was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.