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DR. GINO BANCAYANVEGA ND, MS, CNS, LDN
NPI 1225678311
Nutritionist in Machias, ME

Active since January 07, 2020
38 NORTH ST, MACHIAS, ME 04654(619) 721-2550 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 23, 2026, Sep 23, 2024, Jan 7, 2020 (3 updates tracked since 2020).

About Dr. Gino Bancayanvega Nd, Ms, Cns, Ldn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GINO BANCAYANVEGA ND, MS, CNS, LDN (NPI 1225678311) is an individual nutritionist in Machias, Maine, licensed in Illinois (164.022503) and active in the NPI registry since January 2020. He is a graduate of Other (2025).

NPPES Registry Identity

NPI1225678311
Entity TypeIndividualMale
Primary Taxonomy133N00000X
Provider Legal NameDR. GINO BANCAYANVEGACredential: ND, MS, CNS, LDN
Location Address38 NORTH STMachias, ME 04654-1123
Mailing Address38 North StMachias, ME 04654-1123 · (619) 721-2550
Phone(619) 721-2550
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 7, 2020
Last NPPES UpdateJanuary 23, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2026
✔ NPI 1225678311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNutritionistDietary & Nutritional Service Providers
Taxonomy Code133N00000X
License✔ Licensed in IL · 164.022503
Definition
A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.
Also ListedNaturopathTaxonomy 175F00000X
38 NORTH ST, Machias, ME 04654
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gino Bancayanvega Nd, Ms, Cns, Ldn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113490160
PECOS Enrollment IDI20260622003507

Medicare Billing Reassignment

Medicare enrollment records show Gino Bancayanvega reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bsh Health PA
431 mi
Dietitian, Registered
19 W 24TH ST FL 4
New York, NY 10010
  • Reassigned Medicare billing, Illinois enrollment
  • 15 clinicians in this Medicare group
NPI 1679303465 (646) 389-5066

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. B CLINICAL NUTRITION LLC
Nutritionist
38 NORTH ST
MACHIAS, ME 04654
Washington County (207) 271-0309
DEIASCHA-BRITTE BANCAYANVEGA MS, CNS, LDN
Nutritionist
38 NORTH ST
MACHIAS, ME 04654
Washington County (207) 271-0309

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gino Bancayanvega's NPI number?

The NPI number for Gino Bancayanvega is 1225678311. It was assigned to this individual provider in the NPPES registry on January 7, 2020.

Where is Gino Bancayanvega located?

Gino Bancayanvega practices at 38 North St, Machias, ME 04654. The listed phone number is (619) 721-2550.

What is Gino Bancayanvega's specialty?

The primary specialty registered for this NPI is Nutritionist with taxonomy code 133N00000X.

Is Gino Bancayanvega enrolled in Medicare?

Yes. Gino Bancayanvega is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gino Bancayanvega's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gino Bancayanvega reassigns Medicare benefits to Bsh Health PA (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gino Bancayanvega's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gino Bancayanvega accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Gino Bancayanvega as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gino Bancayanvega was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.