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MELODY M BANASIAK NP
NPI 1497405609
Nurse Practitioner - Gerontology in Shrewsbury, MA

Active since March 29, 2022PECOS EnrolledAccepts Medicare Assignment
222 BOSTON TPKE, SHREWSBURY, MA 01545(508) 853-2854(508) 853-4354 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Melody M Banasiak Np NPPES

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

MELODY M BANASIAK NP (NPI 1497405609) is an individual gerontology provider in Shrewsbury, Massachusetts, licensed in Massachusetts (RN2337205) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1497405609
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMELODY M BANASIAKCredential: NP
Location Address222 BOSTON TPKEShrewsbury, MA 01545-5224
Mailing Address222 Boston TpkeShrewsbury, MA 01545-5224
Phone(508) 853-2854
Fax(508) 853-4354
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 29, 2022
NPPES CertifiedMarch 29, 2022
✔ NPI 1497405609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in MA · RN2337205
222 BOSTON TPKE, Shrewsbury, MA 01545
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Melody M Banasiak Np 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 ID4688052459
PECOS Enrollment IDI20220607001710
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
89 services73 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
23 services23 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Umass Memorial Healthalliance Hospitals

Acute Care Hospitals · Leominster, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220001
Location60 Hospital RoadLeominster, MA 01453 · Worcester County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01545 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

ASHLEY ELIZABETH FULLER DNP-C
Nurse Practitioner (Family)
222 BOSTON TPKE
SHREWSBURY, MA 01545
Worcester County (508) 853-2854
NANCY SHAFFER
Nurse Practitioner
222 BOSTON TPKE, #224
SHREWSBURY, MA 01545
Worcester County (508) 831-4080
DR. ALLAN PHILIP KUONG DO
Emergency Medicine
222 BOSTON TPKE
SHREWSBURY, MA 01545
Worcester County (508) 831-4080

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 Melody Banasiak's NPI number?

The NPI number for Melody Banasiak is 1497405609. It was assigned to this individual provider in the NPPES registry on March 29, 2022.

Where is Melody Banasiak located?

Melody Banasiak practices at 222 Boston Tpke, Shrewsbury, MA 01545. The listed phone number is (508) 853-2854.

What is Melody Banasiak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Melody Banasiak enrolled in Medicare?

Yes. Melody Banasiak 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 Melody Banasiak accept?

Health plans from Anthem Blue Cross and Blue Shield list Melody Banasiak 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.

Is Melody Banasiak affiliated with any hospitals?

According to CMS data, Melody Banasiak is affiliated with Umass Memorial Healthalliance Hospitals.

When was this NPI record last updated?

The NPPES record for Melody Banasiak was last updated on March 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.