Individual provider Active NPI

Anna Kazakova, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1386902690
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F405574 Issued in NY
Practice address
3029 Brighton 12TH St Apt E7
Brooklyn, NY 11235-5721
Phone
(917) 355-1414
NPI assigned
Apr 25, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X 309553 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F405574 NY Primary

Addresses

Primary practice location

3029 Brighton 12TH St Apt E7
Brooklyn, NY 11235-5721

Mailing address

3029 Brighton 12TH St Apt E7
Brooklyn, NY 11235-5721
Phone (917) 355-1414

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Brooklyn Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20200915002824 NY Practitioner - Nurse Practitioner 6507284080 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2601 Ocean Pkwy
RM 3N17
Brooklyn, NY 11235-7745
Phone (718) 616-3000

594 Albany Ave
Brooklyn, NY 11203-1706
Phone (646) 694-6680

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
309553NYMDOrthopaedic Surgery Physician
F405574NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation Multi-Specialty CurrentSince Sep 11, 2025 Accepting new patients
Medical Doctor Milena Kolesnikova PC Multi-Specialty CurrentSince Nov 20, 2025 Accepting new patients
Che Senior Psychological Services, PC Multi-Specialty CurrentSince May 6, 2024 Accepting new patients
Mihail Medvedovsky Physician PC Multi-Specialty CurrentSince Jul 1, 2020 Accepting new patients
New York City Health and Hospitals Corporation Multi-Specialty CurrentSince Sep 11, 2025 Accepting new patients
New York City Health and Hospitals Corporation Multi-Specialty Current Accepting new patients
Knapp Street Psychiatry, PC Multi-Specialty CurrentSince May 6, 2024 Accepting new patients
Seagate Family Medicine Associates, LLC Multi-Specialty CurrentSince Feb 14, 2023 Accepting new patients
DP Radiology Imaging PC Multi-Specialty PastSince Jun 16, 2024 Accepting new patients

Locations

594 Albany Ave
Brooklyn, NY 11203
Phone (646) 694-6680

1915 Ocean Ave
Brooklyn, NY 11230
Phone (718) 258-7700

3039 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 946-9070

2525 Kings Hwy
Brooklyn, NY 11229
Phone (718) 692-5300

2064 Cropsey Ave
Ste 1G
Brooklyn, NY 11214
Phone (718) 975-8763

250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212

8268 164th St
Jamaica, NY 11432
Phone (718) 883-2929

50 Water St
Fl 3
New York, NY 10004

100 Park Ave
Fl 16
New York, NY 10017
Phone (212) 433-2384

209 Beach 125th St
Rockaway Park, NY 11694
Phone (516) 721-7625

586 Midland Ave
Ste B
Staten Island, NY 10306
Phone (347) 201-5081

135 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 447-0101

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: akazakova3553657@nychhc.direct-ci.com

Organizations & group practices 10

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1386902690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3029 BRIGHTON 12TH ST APT E7",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355721",
            "telephone_number": "917-355-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3029 BRIGHTON 12TH ST APT E7",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355721",
            "telephone_number": "917-355-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZAKOVA",
        "first_name": "ANNA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-25",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "309553",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F405574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Brooklyn",
            "affiliation": "N",
            "endpointDescription": "various",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "345 Van Sicklen St",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112233830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.