Individual provider Active NPI

Katherine Mary Banick, PA-C

  • Physician Assistant
  • Webster, TX
National Provider Identifier
1992348676
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA13117 Issued in TX
Practice address
250 Blossom St
Webster, TX 77598-4204
Phone
(832) 632-6500
NPI assigned
Oct 24, 2019
Last updated
Mar 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA13117 TX Primary

Addresses

Primary practice location

250 Blossom St
Webster, TX 77598-4204

Mailing address

4400 Avenue N Apt 61
Galveston, TX 77550-6587

Other practice location 1

4000 Spencer Hwy
Pasadena, TX 77504-1202
Phone (713) 359-2000

Other practice location 2

11500 Space Center Blvd
Houston, TX 77059-3603
Phone (281) 324-8077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20200210001652 TX Practitioner - Physician Assistant 9830525948 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utmb Faculty Group PracticeGroup PAC ID 3375456734, 1,083 clinicians

Practice addresses (Care Compare)

200 Blossom St
Webster, TX 77598-4204

250 Blossom St
Webster, TX 77598-4204

511 Park Grove Dr
Katy, TX 77450-1759
Phone (281) 398-7001

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.2 of 100Reported as group
Quality
100
Improvement activities
40
Cost
60.66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA13117TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Medical Branch at Galveston Past Accepting new patients

Organizations & group practices 3

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1992348676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 AVENUE N APT 61",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775506587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BLOSSOM ST",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984204",
            "telephone_number": "832-632-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 Spencer Hwy",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "TX",
            "postal_code": "775041202",
            "country_code": "US",
            "telephone_number": "713-359-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11500 Space Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770593603",
            "country_code": "US",
            "telephone_number": "281-324-8077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANICK",
        "first_name": "KATHERINE",
        "middle_name": "MARY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-24",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA13117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.