Individual provider Active NPI

Laura Wasylenko Bancroft, M.D.

  • Diagnostic Radiology Physician
  • Venice, FL
National Provider Identifier
1104817287
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME65440 Issued in FL
Practice address
512 Nokomis Ave S
Venice, FL 34285-2817
Phone
(941) 488-7781
Fax
(941) 486-8991
NPI assigned
Oct 29, 2005
Last updated
Jan 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME65440 FL Primary

Addresses

Primary practice location

512 Nokomis Ave S
Venice, FL 34285-2817

Mailing address

512 Nokomis Ave S
Venice, FL 34285-2817
Phone (941) 488-7781

Other identifiers 3

IdentifierTypeStateIssuer
28439OtherFLBLUECROSS/BLUESHIELD
300055808OtherFLRAILROAD MEDICARE
268756900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PA, AZ3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20090127000477 FL Practitioner - Diagnostic Radiology 3779647318 Reassigns benefits to 10 organizations
I20260128003193 PA Practitioner - Diagnostic Radiology 3779647318 Reassigns benefits to 1 organization
I20260306001991 AZ Practitioner - Diagnostic Radiology 3779647318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Missouri, Kansas City, School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians
Christiana Care Pennsylvania IncGroup PAC ID 8921549973, 176 clinicians
Florida Radiology Associates LLCGroup PAC ID 2769829522, 74 clinicians
Radiology Associates of South Carolina LLCGroup PAC ID 3779932959, 109 clinicians
Pennsylvania Radiology Associates PCGroup PAC ID 4385170810, 48 clinicians
Southwest Diagnostic Imaging LLCGroup PAC ID 7416946199, 121 clinicians
Radiology Associates of North Carolina PCGroup PAC ID 8628507811, 36 clinicians
Radiology Associates of Venice and Englewood PAGroup PAC ID 8729039292, 9 clinicians

Practice addresses (Care Compare)

11650 Horizon Rd
Parkland, FL 33076-2661
Phone (623) 299-8743

30 Lawrence Rd
Suite 300
Broomall, PA 19008-3301
Phone 61039413504

3308 Higel Ave
Sarasota, FL 34242-1128
Phone (469) 757-1042

3477 Cedar Lane Dr
Tallahassee, FL 32312-1207
Phone (469) 757-1042

3501 N Scottsdale Rd
Suite 130
Scottsdale, AZ 85251-5649
Phone (480) 425-5000

512 - 516 S Nokomis
Venice, FL 34285-3022
Phone (941) 486-3483

619 Avenida de Mayo
Sarasota, FL 34242-1501
Phone (469) 757-1042

9659 Castle Way Dr
Windermere, FL 34786-8207
Phone (623) 299-8743

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.84 of 100Reported as group
Quality
95
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME65440FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of Tallahassee PA Diagnostic Radiology CurrentSince May 1, 2023 Accepting new patients
Christiana Care Pennsylvania Inc CurrentSince Jan 16, 2026 Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Apr 1, 2026 Accepting new patients
Radiology Associates of South Carolina LLC Diagnostic Radiology CurrentSince Jan 17, 2026 Accepting new patients
Pennsylvania Radiology Associates PC Diagnostic Radiology CurrentSince Dec 1, 2025 Accepting new patients
Florida Radiology Associates LLC Diagnostic Radiology CurrentSince Nov 25, 2025 Accepting new patients
Radiology Associates of Venice and Englewood PA Diagnostic Radiology CurrentSince Sep 3, 2019 Accepting new patients
Tallahassee Diag Imaging Ctr LTD Diagnostic Radiology CurrentSince May 1, 2023 Accepting new patients
Radiology Associates of North Carolina PC Diagnostic Radiology CurrentSince Feb 7, 2026 Accepting new patients
Christiana Care Pennsylvania Inc CurrentSince Jan 16, 2026 Accepting new patients
Southwest Diagnostic Imaging LLC Diagnostic Radiology CurrentSince Jan 21, 2026 Accepting new patients
Southeast Radiology Partners LTD Diagnostic Radiology CurrentSince May 1, 2023 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715

19636 N 27th Ave
Ste LL1
Phoenix, AZ 85027
Phone (602) 485-7482

19646 N 27th Ave
Ste 205
Phoenix, AZ 85027
Phone (623) 678-0246

19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720

20940 N Tatum Blvd
Ste 390
Phoenix, AZ 85050
Phone (480) 407-0060

3501 N Scottsdale Rd
Ste 130
Scottsdale, AZ 85251

7400 E Thompson Peak Pkwy
Scottsdale, AZ 85255
Phone (480) 324-7000

900 Pine St
Englewood, FL 34223
Phone (941) 475-5471

4500 San Pablo Rd S
Jacksonville, FL 32224
Phone (904) 721-4815

1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155

1600 Phillips Rd
Tallahassee, FL 32308
Phone (850) 216-3686

512 Nokomis Ave S
Venice, FL 34285
Phone (941) 486-3483

30 Lawrence Rd
Ste 300
Broomall, PA 19008
Phone (484) 446-3611

200 E State St
Ste 200
Media, PA 19063
Phone (610) 627-5800

900 W Baltimore Pike
Ste 102
West Grove, PA 19390
Phone (302) 838-3088

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 5

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": "1130544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1104817287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 NOKOMIS AVE S",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852817",
            "telephone_number": "941-488-7781",
            "fax_number": "941-486-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 NOKOMIS AVE S",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852817",
            "telephone_number": "941-488-7781",
            "fax_number": "941-486-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANCROFT",
        "first_name": "LAURA",
        "middle_name": "WASYLENKO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-29",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME65440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD",
            "identifier": "28439",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300055808",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268756900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.