Individual provider Active NPI

Anna Vadimivna Yurchak / Kuusk, APN

  • General Practice Registered Nurse
  • Vineland, NJ
National Provider Identifier
1043077498
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
26NR18249300 Issued in NJ
Practice address
786 Foxmoor Dr
Vineland, NJ 08361-7254
Phone
(609) 805-1132
NPI assigned
Mar 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 26NR18249300 NJ Primary

Addresses

Primary practice location

786 Foxmoor Dr
Vineland, NJ 08361-7254

Mailing address

786 Foxmoor Dr
Vineland, NJ 08361-7254
Phone (609) 805-1132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250218003435 NJ Practitioner - Nurse Practitioner 4587184791 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care, Inc. CurrentSince Mar 3, 2025 Accepting new patients
Community Health Care, Inc. CurrentSince Mar 3, 2025 Accepting new patients
Community Health Care, Inc. Past Accepting new patients
Community Health Care, Inc. Past Accepting new patients

Locations

14 N Pearl St
Bridgeton, NJ 08302
Phone (856) 340-9830

30 N Pearl St
Bridgeton, NJ 08302

715 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 863-5720

335 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 863-5720

530 High St N
Millville, NJ 08332
Phone (856) 506-8556

785 W Sherman Ave
Vineland, NJ 08360

3700 New Jersey Ave
Wildwood, NJ 08260
Phone (609) 465-0258

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: anna.kuusk.p1@direct.cchn.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1043077498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "786 FOXMOOR DR",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083617254",
            "telephone_number": "609-805-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "786 FOXMOOR DR",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083617254",
            "telephone_number": "609-805-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YURCHAK / KUUSK",
        "first_name": "ANNA",
        "middle_name": "VADIMIVNA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NJ",
            "license": "26NR18249300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.