Nicholas Sean Bancroft, CRNA
Nurse Anesthetist, Certified Registered in Apo, AE. Individual provider (NPI-1).
NPI number1760619100
StatusActive
Last updated in NPPESJun 11, 2026
Details
- NPI
- 1760619100
- Entity type
- Individual (NPI-1)
- Name
- Mr. Nicholas Sean Bancroft
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 11, 2009
- Certification date
- Jun 11, 2026
- Last updated
- Jun 11, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4186 | CA | Yes |
| 163W00000X | Registered Nurse | 662359 | CA |
Practice location
48th Medical GroupRaf Lakenheath Unit 5115
Apo, AE
Phone 314-226-8124
Mailing address
1974 Serviceberry RdDumfries, VA 22026-2890
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