BINITA BANIYA
NPI 1588446355
Nurse Practitioner - Family in Caledonia, MI
About Binita Baniya NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BINITA BANIYA (NPI 1588446355) is an individual family provider in Caledonia, Michigan, licensed in Michigan (4704319949) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Binita Baniya 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.
Medicare Billing Reassignments
10Medicare enrollment records show Binita Baniya reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Plainwell, MI 49080
- Reassigned Medicare billing, Michigan enrollment
- 33 clinicians in this Medicare group
Battle Creek, MI 49015
- Reassigned Medicare billing, Michigan enrollment
- 31 clinicians in this Medicare group
Chelsea, MI 48118
- Reassigned Medicare billing, Michigan enrollment
- 32 clinicians in this Medicare group
Brighton, MI 48114
- Reassigned Medicare billing, Michigan enrollment
- 383 clinicians in this Medicare group
Ann Arbor, MI 48103
- Reassigned Medicare billing, Michigan enrollment
- 23 clinicians in this Medicare group
Tecumseh, MI 49286
- Reassigned Medicare billing, Michigan enrollment
- 33 clinicians in this Medicare group
Adrian, MI 49221
- Reassigned Medicare billing, Michigan enrollment
- 33 clinicians in this Medicare group
Lambertville, MI 48144
- Reassigned Medicare billing, Michigan enrollment
- 28 clinicians in this Medicare group
Asheville, NC 28804
- Reassigned Medicare billing, North Carolina enrollment
- 117 clinicians in this Medicare group
Winston Salem, NC 27106
- Reassigned Medicare billing, North Carolina enrollment
- 35 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49316 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Binita Baniya's NPI number?
The NPI number for Binita Baniya is 1588446355. It was assigned to this individual provider in the NPPES registry on October 17, 2023.
Where is Binita Baniya located?
Binita Baniya practices at 7340 Royal Ridge Dr SE, Caledonia, MI 49316. The listed phone number is (616) 426-0202.
What is Binita Baniya's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Binita Baniya enrolled in Medicare?
Yes. Binita Baniya 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.
Which organizations bill Medicare for Binita Baniya's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Binita Baniya reassigns Medicare benefits to 10 organizations: Plainwell Urgent Care Walk-In Clinic PC (Plainwell, MI), Battle Creek Urgent Care Walk In Clinic PC (Battle Creek, MI), Chelsea Urgent Care Walk-In Clinic PC (Chelsea, MI), Theoria Medical (Brighton, MI), MD Urgent Care Ann Arbor PC (Ann Arbor, MI) and 5 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Binita Baniya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Binita Baniya accept?
Health plans from Blue Cross and Blue Shield of NC and Priority Health list Binita Baniya 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 Binita Baniya was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Binita Baniya · NPI 1588446355
Family physician in Caledonia, Michigan. Individual provider, active in the CMS NPPES registry since October 17, 2023.
## Identity
- **NPI:** 1588446355 (Entity type: Individual)
- **Enumerated:** October 17, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704319949 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 7340 ROYAL RIDGE DR SE, Caledonia, MI 49316-9039
- **Phone:** (616) 426-0202
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): Plainwell Urgent Care Walk-In Clinic PC (NPI 1356014567, Plainwell, MI); Battle Creek Urgent Care Walk In Clinic PC (NPI 1700539251, Battle Creek, MI); Chelsea Urgent Care Walk-In Clinic PC (NPI 1811568272, Chelsea, MI); Theoria Medical (NPI 1164186946, Brighton, MI); MD Urgent Care Ann Arbor PC (NPI 1649984568, Ann Arbor, MI); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** September 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1588446355) · Data from the CMS NPPES public registry.