Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Gino Bancayanvega, ND, MS, CNS, LDN

Individual provider Naturopath · NPI 1225678311

Dr. Gino Bancayanvega, ND, MS, CNS, LDN is a Registered Dietitian OR Nutrition Professional in Machias, Maine. Qualified in 2025, 1 year ago. Licensed in Illinois.

Years since qualifying
1
Licensed in
IL
In the registry since
2020
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
CNS — Clinical Nurse Specialist
An advanced practice nurse specialising in a patient population or setting.
LDN — Licensed Dietitian Nutritionist
A state-licensed dietitian nutritionist.

See every abbreviation used in this directory →

Practice location Address checks out

38 N St
Machias, ME 04654-1123
Phone: (619) 721-2550
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutritionist (primary) Taxonomy 133N00000X · Licence 164.022503 (IL)
Naturopath Taxonomy 175F00000X

Record details

NPI number1225678311
Entity typeIndividual (Type 1)
GenderMale
Credentials ND , MS , CNS , LDN
Sole proprietorNo
NPI enumeratedJanuary 7, 2020
Last updated in NPPESJanuary 23, 2026
Certification dateJanuary 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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