MS. KELLIANN BANAIAN PNP-AC
NPI 1942131685
Nurse Practitioner - Pediatrics in Boston, MA
About Ms. Kelliann Banaian Pnp-ac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KELLIANN BANAIAN PNP-AC (NPI 1942131685) is an individual pediatrics provider in Boston, Massachusetts, licensed in Massachusetts (RN2346281) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Kelliann Banaian Pnp-ac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelliann Banaian reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boston, MA 02115
- Reassigned Medicare billing, Massachusetts enrollment
- 220 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BOSTON, MA 02115
BOSTON, MA 02115
BOSTON, MA 02115
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 Kelliann Banaian's NPI number?
The NPI number for Kelliann Banaian is 1942131685. It was assigned to this individual provider in the NPPES registry on May 28, 2026.
Where is Kelliann Banaian located?
Kelliann Banaian practices at 300 Longwood Ave, Boston, MA 02115. The listed phone number is (617) 355-6000.
What is Kelliann Banaian's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Kelliann Banaian enrolled in Medicare?
Yes. Kelliann Banaian is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelliann Banaian's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelliann Banaian reassigns Medicare benefits to Boston Childrens Heart Foundation Inc (Boston, MA). The 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 Kelliann Banaian's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelliann Banaian accept?
Health plans from Taro Health list Kelliann Banaian 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 Kelliann Banaian was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Ms. Kelliann Banaian, PNP-AC · NPI 1942131685
Pediatrics physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since May 28, 2026.
## Identity
- **NPI:** 1942131685 (Entity type: Individual)
- **Enumerated:** May 28, 2026
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** RN2346281 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 LONGWOOD AVE, Boston, MA 02115-5724
- **Phone:** (617) 355-6000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Boston Childrens Heart Foundation Inc (NPI 1982680922, Boston, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** July 27, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1942131685) · Data from the CMS NPPES public registry.