MR. NICHOLAS SEAN BANCROFT (CRNA) – Certified Registered Nurse Anesthetist, NPI 1760619100

MR. NICHOLAS SEAN BANCROFT (CRNA) is a healthcare provider. based in Usaf academy, Colorado. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 662359 (CA). The NPI Number for MR. NICHOLAS SEAN BANCROFT (CRNA) is 1760619100

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
MR. NICHOLAS SEAN BANCROFT (CRNA)
NPI
1760619100
Phone
(719) 333-5691
Address
4102 PINION DR
Enumeration Date
11 June 2009
Last Update Date
10 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7038586000
Graduation Year
2010 (16 years ago)
PAC ID
8820274491
Group Practice PAC ID
9537526330
Professional Enrollment ID
I20250428002589
Address ID
VA201765101LE44045PKWY300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:17State licenses:2Digital endpointsOther names

803 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CO

Provider Addresses for MR. NICHOLAS SEAN BANCROFT (CRNA)

  • 4102 PINION DR

    USAF ACADEMY, CO 808402502

    Phone: (719) 333-5691

    Type: Mailing

  • 48TH MEDICAL GROUP

    RAF LAKENHEATH UNIT 5115

    APO, AE 094615115

    Phone: (314) 226-8124

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250428002589ICertified Registered Nurse Anesthetist (Crna)VATBD
I20250603000400ICertified Registered Nurse Anesthetist (Crna)DCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80840)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537526330View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YNC
Certified Registered Nurse Anesthetist (Crna)NC
A N E S T H E S I O L O G YNC
A N E S T H E S I O L O G YNJ
Certified Registered Nurse Anesthetist (Crna)NC
Anesthesiology, Pain ManagementVA
Certified Registered Nurse Anesthetist (Crna)VA
A N E S T H E S I O L O G YNC
Certified Registered Nurse Anesthetist (Crna)NY
A N E S T H E S I O L O G YMA

Reviews

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Frequently asked questions

Where can patients find MR. NICHOLAS SEAN BANCROFT (CRNA)'s NPI?
You can confirm MR. NICHOLAS SEAN BANCROFT (CRNA) with NPI 1760619100; it appears in the national provider directory.
Is MR. NICHOLAS SEAN BANCROFT (CRNA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does MR. NICHOLAS SEAN BANCROFT (CRNA) treat or focus on?
Patients typically see MR. NICHOLAS SEAN BANCROFT (CRNA) under the specialty Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What location shows for MR. NICHOLAS SEAN BANCROFT (CRNA)?
We surface Usaf Academy, Colorado for MR. NICHOLAS SEAN BANCROFT (CRNA) based on available NPPES addresses.
What if Usaf Academy, Colorado seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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