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

MS. Ann Marie Banellis, CRNP

Individual provider Family Nurse Practitioner · NPI 1114356656

MS. Ann Marie Banellis, CRNP is a Nurse Practitioner in Pittston, Pennsylvania. Qualified in 2013, 13 years ago. Practices with Geisinger Clinic, a 3,413-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
13
Licensed in
PA
In the registry since
2013
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

42 N Main St
Pittston, PA 18640-1916
Phone: (570) 654-0880
Fax: (570) 655-9857
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP013117 (PA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence SPO13117 (PA)

Record details

NPI number1114356656
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedNovember 5, 2013
Last updated in NPPESAugust 21, 2020
Certification dateAugust 21, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Geisinger Clinic — 3413 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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