DAVID BANICKI FNP-C
NPI 1962217125
Nurse Practitioner - Family in Pleasant Prairie, WI
About David Banicki Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID BANICKI FNP-C (NPI 1962217125) is an individual family provider in Pleasant Prairie, Wisconsin, licensed in Wisconsin (F05250443) and active in the NPI registry since February 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses 2
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
David Banicki Fnp-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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53158 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.
PLEASANT PRAIRIE, WI 53158
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 David Banicki's NPI number?
The NPI number for David Banicki is 1962217125. It was assigned to this individual provider in the NPPES registry on February 12, 2025.
Where is David Banicki located?
David Banicki practices at 9555 76th St, Pleasant Prairie, WI 53158. The listed phone number is (262) 577-8202.
What is David Banicki's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is David Banicki enrolled in Medicare?
Yes. David Banicki 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.
When was this NPI record last updated?
The NPPES record for David Banicki was last updated on June 19, 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.
# David Banicki, FNP-C · NPI 1962217125
Family physician in Pleasant Prairie, Wisconsin. Individual provider, active in the CMS NPPES registry since February 12, 2025.
## Identity
- **NPI:** 1962217125 (Entity type: Individual)
- **Enumerated:** February 12, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F05250443 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 9555 76TH ST, Pleasant Prairie, WI 53158-1984
- **Phone:** (262) 577-8202
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** June 19, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1962217125) · Data from the CMS NPPES public registry.