VINCENT JAMES CANCILLA
NPI 1639045404
Anesthesiologist Assistant in Mansfield, OH

Q: What is Vincent Cancilla's NPI number?

The NPI number for Vincent Cancilla is 1639045404. It was assigned to this individual provider in the NPPES registry on October 16, 2025.

Q: What is Vincent Cancilla's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Vincent Cancilla was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since October 16, 2025Accepts Medicare Assignment

335 GLESSNER AVE, MANSFIELD, OH 44903(419) 520-2882 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Vincent James Cancilla NPPES

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

VINCENT JAMES CANCILLA (NPI 1639045404) is an individual anesthesiologist assistant in Mansfield, Ohio and active in the NPI registry since October 2025. He is affiliated with Ohiohealth Mansfield Hospital and is a graduate of Other (2025).

NPPES Registry Identity

NPI1639045404

Entity TypeIndividualMale

Primary Taxonomy367H00000X

Provider Legal NameVINCENT JAMES CANCILLA

Location Address335 GLESSNER AVEMansfield, OH 44903-2269

Mailing Address9205 Shenandoah DrNorth Royalton, OH 44133-1563 · (440) 341-3546

Phone(419) 520-2882

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateOctober 16, 2025

NPPES CertifiedOctober 16, 2025

✔ NPI 1639045404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

335 GLESSNER AVE, Mansfield, OH 44903

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Vincent James Cancilla is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668953217

PECOS Enrollment IDI20260223001513

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ohiohealth Mansfield Hospital

Acute Care Hospitals · Mansfield, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360118

Location335 Glessner AvenueMansfield, OH 44903 · Richland County

Emergency services Birthing friendly

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