Individual provider Active NPI

Baylee Bancroft

  • Medical Physician Assistant
  • Mannington, WV
National Provider Identifier
1164148359
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2759 Issued in WV
Practice address
800 E Main St
Mannington, WV 26582-1278
Phone
(681) 285-1232
NPI assigned
Oct 18, 2022
Last updated
Dec 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2759 WV Primary

Addresses

Primary practice location

800 E Main St
Mannington, WV 26582-1278

Mailing address

338 Richard Harrison Way
Morgantown, WV 26501-1119
Phone (517) 489-9724

Other practice location 1

338 Richard Harrison Way
Morgantown, WV 26501-1119
Phone (517) 489-9724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20240516000234 WV Practitioner - Physician Assistant 3678914025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sanjay Bharti MD, PLLCGroup PAC ID 8224171251, 7 clinicians

Practice addresses (Care Compare)

411 Morgantown St
Kingwood, WV 26537-1095
Phone (304) 329-0555

51 Southland Dr
Suite 1200
Fairmont, WV 26554-2244
Phone (304) 413-2552

800 E Main St
Mannington, WV 26582-1278
Phone (304) 413-2552

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2759WVMDMedical Physician Assistant

Organizations & group practices 1

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 2

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": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1164148359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 RICHARD HARRISON WAY",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265011119",
            "telephone_number": "517-489-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E MAIN ST",
            "city": "MANNINGTON",
            "state": "WV",
            "postal_code": "265821278",
            "telephone_number": "681-285-1232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "338 Richard Harrison Way",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265011119",
            "country_code": "US",
            "telephone_number": "517-489-9724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANCROFT",
        "first_name": "BAYLEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WV",
            "license": "2759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mannington, WV

Sources for this page

Verify at the official NPI Registry.