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

Mackenzie Ann Bancroft

Individual provider Physician Assistant · NPI 1194423251

Mackenzie Ann Bancroft is a Physician Assistant in Waterville, Maine. Graduated from Tufts University School of Medicine in 2024, 2 years ago. Practices with Mainegeneral Medical Center, a 556-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maine.

Years since qualifying
2
Trained at
Tufts University School of Medicine
Licensed in
ME
In the registry since
2023
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

211 Main St
Waterville, ME 04901-6117
Phone: (207) 877-3400
Fax: (207) 877-3401
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2650 (ME)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1194423251
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 20, 2023
Last updated in NPPESApril 11, 2024
Certification dateApril 11, 2024
Mailing address211 Main St, Waterville, ME 04901-6117

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Mainegeneral Medical Center — 556 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Waterville