Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Richard James Banczak, CNP

Individual provider Family Nurse Practitioner · NPI 1104648021

Mr. Richard James Banczak, CNP is a Nurse Practitioner in Saint Paul, Minnesota. Qualified in 2024, 2 years ago. Practices with Healtheast Medical Research Institute, a 678-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
2
Licensed in
MN
In the registry since
2024
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

1983 Sloan Pl Ste 1
Saint Paul, MN 55117-2095
Phone: (651) 326-5700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 12066 (MN)

Record details

NPI number1104648021
Entity typeIndividual (Type 1)
GenderMale
Credentials CNP
Sole proprietorNo
NPI enumeratedOctober 30, 2024
Last updated in NPPESOctober 30, 2024
Certification dateOctober 30, 2024

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 Healtheast Medical Research Institute — 678 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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