NICOLE R BANKO CRNA
NPI 1679011795
Nurse Anesthetist, Certified Registered in Youngstown, OH

Q: What is Nicole Banko's NPI number?

The NPI number for Nicole Banko is 1679011795. It was assigned to this individual provider in the NPPES registry on February 9, 2017. The provider is also known as Nicole R Shindledecker.

Q: What is Nicole Banko's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Banko was last updated on February 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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 February 09, 2017Accepts Medicare Assignment

1044 BELMONT AVE, YOUNGSTOWN, OH 44504(330) 480-3658(330) 480-3439 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 5, 2021, Dec 6, 2018, Mar 13, 2018 and 1 more (4 updates tracked since 2017).

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About Nicole R Banko Crna NPPES

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

NICOLE R BANKO CRNA (NPI 1679011795) is an individual nurse anesthetist, certified registered in Youngstown, Ohio, licensed in Ohio (RN367015) and active in the NPI registry since February 2017. She is affiliated with Mh St Joseph Warren Hospital, maintains a secondary practice location in Youngstown, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1679011795

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameNICOLE R BANKOCredential: CRNA

Location Address1044 BELMONT AVEYoungstown, OH 44504-1006

Mailing Address4135 Boardman Canfield Rd Ste 101Canfield, OH 44406-9803 · (330) 286-5330 · Fax (330) 286-5396

Phone(330) 480-3658

Fax(330) 480-3439

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateFebruary 9, 2017

Last NPPES UpdateFebruary 27, 20244 updates tracked since enumeration

NPPES CertifiedFebruary 27, 2024

✔ NPI 1679011795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in OH · RN367015

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

1044 BELMONT AVE, Youngstown, OH 44504

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Other Names 1

Former Name (1)Nicole R Shindledecker

Secondary Practice Location 1

Location 18401 Market StYoungstown, OH 44512-6725 · Phone (330) 729-2929 · Fax (330) 286-5396

Other Identifiers 3

Medicaid0205181OH

OtherH482590OH · Medicare Ptan

Other13964526Caqh

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole R Banko Crna 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 ID8628352432

PECOS Enrollment IDI20170222002268, I20201028000288

Medicare Billing Reassignments

Medicare enrollment records show Nicole Banko reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bel-Park Anesthesia Associates, Inc.

Same address

Anesthesiology

1044 BELMONT AVE
Youngstown, OH 44504

Reassigned Medicare billing, Ohio and Pennsylvania enrollments
245 clinicians in this Medicare group

NPI 1508813528 (330) 286-5330

The Gastroenterology Clinic & Endoscopy Center Inc

11 mi

Gastroenterology

1622 E MARKET ST
Warren, OH 44483

Reassigned Medicare billing, Ohio and Pennsylvania enrollments
79 clinicians in this Medicare group

NPI 1952497117 (330) 399-7215

Keystone Anesthesia Consultants, Ltd

67 mi

Anesthesiology

80 LANDINGS DR STE 202
Washington, PA 15301

Reassigned Medicare billing, Pennsylvania enrollment
134 clinicians in this Medicare group

NPI 1861450751 (724) 969-0191

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

15 services15 patients

Anesthesia for other procedure on upper abdomen 00790

Anesthesia for an upper abdomen procedure involves using medications to help you feel no pain during the operation. It can be general, where you're unconscious, or regional, where just the abdomen area is numbed. It ensures comfort and stillness, aiding a successful procedure.

14 services13 patients

Hospital Affiliations CMS Care Compare

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

Mh St Joseph Warren Hospital

Acute Care Hospitals · Warren, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360161

Location667 Eastland Ave SEWarren, OH 44484 · Trumbull County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. MICHAEL ALLEN VAN WINKLE D.O

Internal Medicine