Tanya Ann Bannerman, MSN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

4704311189 Issued in MI

Practice address

3600 N Saginaw Rd
Midland, MI 48640-2301

Phone

(989) 510-7626

Fax

(989) 486-1554

NPI assigned

May 19, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Clinton County Medical Center Psychological Services PLLCGroup PAC ID 4082843412, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mymichigan Medical Center Midland Hospital, Midland, MI, CCN 230222

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clinton County Medical Center Psychological Services PLLC

  • Mental Health Counselor
  • Saint Johns, MI
  • NPI 1871931055
  Medicare reassignment Care Compare group NPD
• Clinton County Medical Center Psychological Services PLLC

  • Family Medicine Physician
  • Saint Johns, MI
  • NPI 1538973144

  Psychiatric/Mental Health

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mymichigan Medical Center Midland

  • Multi-Specialty Clinic/Center
  • Midland, MI
  • NPI 1205889490

  Hospital

  Care Compare affiliation
• Mymichigan Medical Center Midland

  • General Acute Care Hospital
  • Midland, MI
  • NPI 1376973149
  Care Compare affiliation
• Mymichigan Medical Center Midland

  • General Acute Care Hospital
  • Midland, MI
  • NPI 1902841414
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1497446496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 N SAGINAW RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402301",
            "telephone_number": "989-488-0936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 N SAGINAW RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402301",
            "telephone_number": "989-510-7626",
            "fax_number": "989-486-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANNERMAN",
        "first_name": "TANYA",
        "middle_name": "ANN",
        "credential": "MSN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-19",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704311189",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704311189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Rose Baldwin
• Ryan Edwin Balzer, D.C.
• Jodi Banaszak
• Allison Morgan Banchoff, ATC
• Larry Banks, LBSW QMHP
• Lucas Banning, AGACNP-BC
• Dania Baraka, DO
• Suzanne Marie Barbu, P.T.
• Dean Mitchell Bard
• Maggie Elizabeth Barko

• Psychiatric/Mental Health Nurse Practitioner in Midland, MI
• Providers in Midland, MI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.