MRS. SHARON SANFORD BANASIEWICZ PA-C
NPI 1245575935
Physician Assistant - Surgical in Tallahassee, FL

Active since December 06, 2012PECOS Enrolled
2452 MAHAN DR STE 101, TALLAHASSEE, FL 32308(850) 877-2126(850) 877-6046 Get Directions Write a Review

NPPES record last updated: October 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Sharon Sanford Banasiewicz Pa-c NPPES

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

MRS. SHARON SANFORD BANASIEWICZ PA-C (NPI 1245575935) is an individual surgical provider in Tallahassee, Florida, licensed in Florida (PA 9106960) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245575935
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMRS. SHARON SANFORD BANASIEWICZCredential: PA-C
Location Address2452 MAHAN DR STE 101Tallahassee, FL 32308-5377
Mailing Address2452 Mahan Dr Ste 101Tallahassee, FL 32308-5377 · (850) 877-2126
Fax(850) 877-6046
Sole ProprietorNo
Enumeration DateDecember 6, 2012
Last NPPES UpdateOctober 26, 2016
NPI 1245575935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in FL · PA 9106960
2452 MAHAN DR STE 101, Tallahassee, FL 32308

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Sharon Sanford Banasiewicz Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 2

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

Physician Assistant
2452 MAHAN DR STE 101
TALLAHASSEE, FL 32308
Physician Assistant (Surgical)
2452 MAHAN DR STE 101
TALLAHASSEE, FL 32308

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 Sharon Banasiewicz's NPI number?

The NPI number for Sharon Banasiewicz is 1245575935. It was assigned to this individual provider in the NPPES registry on December 6, 2012.

Where is Sharon Banasiewicz located?

Sharon Banasiewicz practices at 2452 Mahan Dr Ste 101, Tallahassee, FL 32308. The listed phone number is (850) 877-2126.

What is Sharon Banasiewicz's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Sharon Banasiewicz enrolled in Medicare?

Yes. Sharon Banasiewicz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sharon Banasiewicz was last updated on October 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.