Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brianna Banachoski

Individual provider Nurse Practitioner · NPI 1114720422

Brianna Banachoski is a Nurse Practitioner in Wilkes Barre, Pennsylvania. Qualified in 2024, 2 years ago. Practices with Geisinger Clinic, a 3,413-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
2
Licensed in
PA
In the registry since
2025
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Practice location Address checks out

1000 E Mountain Blvd
Wilkes Barre, PA 18711-0027
Phone: (570) 808-4772
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP032586 (PA)

Record details

NPI number1114720422
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 31, 2025
Last updated in NPPESMarch 31, 2025
Certification dateMarch 31, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Geisinger Clinic — 3413 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Wilkes Barre