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

MS. Natasha D Bancroft, AGACNP

Individual provider Nurse Practitioner · NPI 1679153456

MS. Natasha D Bancroft, AGACNP is a Nurse Practitioner in Belleville, Illinois. Qualified in 2020, 6 years ago. Practices with Fairview Heights Medical Group SC, a 448-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

4500 Memorial Dr
Belleville, IL 62226-5360
Phone: (618) 257-6220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 18846 N Hails Ln, Mount Vernon, IL 62864-8312 — (618) 237-2309

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209022987 (IL)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 209022987 (IL)

Record details

NPI number1679153456
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedApril 14, 2021
Last updated in NPPESSeptember 19, 2025
Certification dateSeptember 19, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Fairview Heights Medical Group Sc — 448 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Belleville