Richard James Banczak, CNP
NPI 1104648021ActiveIndividual· Nurse Practitioner, Family· Saint Paul, MN
Nurse Practitioner, Family (CNP) with Healtheast Medical Research Institute, practicing in Saint Paul, Minnesota. Enrolled in Medicare as practitioner - nurse practitioner. Lists M Health Fairview St John's Hospital as a hospital affiliation.
Overview
| NPI | 1104648021 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CNP |
| Sole proprietor | No |
| NPI issued | Oct 30, 2024 |
| Last updated in NPPES | Oct 30, 2024 |
| Certified by provider | Oct 30, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 12066 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MN) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Healtheast Medical Research InstituteSaint Paul, MN · 649 clinicians
Hospital affiliation
- M Health Fairview St John's HospitalMaplewood, MN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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