Kelliann Banaian, PNP-AC
NPI 1942131685ActiveIndividual· Nurse Practitioner, Pediatrics· Boston, MA
Nurse Practitioner, Pediatrics (PNP-AC) in Boston, Massachusetts, licensed in MA, with an NPI issued in May 2026. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1942131685 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PNP-AC |
| Sole proprietor | No |
| NPI issued | May 28, 2026 |
| Last updated in NPPES | Jul 27, 2026 |
| Certified by provider | Jul 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Pediatrics Primary | 363LP0200X | RN2346281 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MA) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Nurse Practitioner |
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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