Individual provider Active NPI

Anna Shusharina, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Holland, PA
National Provider Identifier
1558822767
Registry record updated Aug 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NR01137000 Issued in NJ
Practice address
277 Hudson CT
Holland, PA 18966-2754
Phone
(267) 991-5053
NPI assigned
Mar 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X SP020071 PA
Acute Care Nurse Practitioner 363LA2100X SP020071 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP026823 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NR01137000 NJ Primary

Addresses

Primary practice location

277 Hudson CT
Holland, PA 18966-2754

Mailing address

2500 Maryland Rd Ste 400
Willow Grove, PA 19090-1225
Phone (215) 481-4143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190812002668 PA Practitioner - Nurse Practitioner 2567799604 Reassigns benefits to 6 organizations
I20250404003356 NJ Practitioner - Nurse Practitioner 2567799604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Abington Memorial HospitalGroup PAC ID 3274437736, shared by 44 NPIs, 442 clinicians
Ars Treatment Centers PCGroup PAC ID 0042568131, 107 clinicians
Moonshot Psychiatric Nurse Practitioner PCGroup PAC ID 9335589696, 79 clinicians

Practice addresses (Care Compare)

1200 Old York Rd
Suite 2B
Abington, PA 19001-3720
Phone (215) 481-2222

1245 Highland Ave
Abington, PA 19001-3724

4432 E Bristol Rd
Suite 1B
Feasterville Trevose, PA 19053-4758
Phone (800) 805-6989

79 Hall Rd
Chatham, NJ 07928-1754
Phone (855) 444-7258

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP020071PAMDAcute Care Nurse Practitioner
26NR01137000NJMDPsychiatric/Mental Health Nurse Practitioner
SP026823PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Care of Pennsylvania LLC CurrentSince Dec 15, 2022 Accepting new patients
Pinnacle Health Hospitalist Services LLC CurrentSince Aug 5, 2022 Accepting new patients
Ars Treatment Centers, P.C. CurrentSince Feb 22, 2022 Accepting new patients
Abington Memorial Hospital CurrentSince Jun 27, 2023 Accepting new patients
Abington Memorial Hospital CurrentSince Nov 18, 2019 Accepting new patients
Moonshot Psychiatric Nurse Practitioner PC Psychiatric/Mental Health CurrentSince Jan 30, 2025 Accepting new patients
Lavender New Jersey Psychiatric Nurse Practitioner PC Psychiatric/Mental Health CurrentSince Jun 23, 2026 Accepting new patients
Ars Treatment Centers, P.C. CurrentSince Feb 22, 2022 Accepting new patients
Womencare OB GYN, P.C. Past Accepting new patients

Locations

971 US Highway 202 N
#8057
Branchburg, NJ 08876

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

1245 Highland Ave
Ste 308
Abington, PA 19001
Phone (215) 481-2589

1200 Old York Rd
Ste 2B
Abington, PA 19001
Phone (215) 481-2222

1245 Highland Ave
Ste 301
Abington, PA 19001
Phone (215) 481-3133

220 S Main St
Ste A
Butler, PA 16001

528 Fallowfield Ave
Charleroi, PA 15022
Phone (724) 489-4110

4432 E Bristol Rd
Ste 1B
Feasterville Trevose, PA 19053

300 Highland Ave
Hanover, PA 17331
Phone (717) 316-3711

4300 Londonderry Rd
Lower Paxton, PA 17109
Phone (717) 597-7044

152 W Main St
Norristown, PA 19401

2109 Red Lion Rd
Philadelphia, PA 19115
Phone (215) 213-7000

504 South St
Fl First
Philadelphia, PA 19147

323 S 60th St
Philadelphia, PA 19143

2317 E Westmoreland St
Philadelphia, PA 19134
Phone (215) 291-3115

1335 W Tabor Rd
Ste 211
Philadelphia, PA 19141
Phone (215) 276-1100

4821 Frankford Ave
Ste E
Philadelphia, PA 19124

1320 Chester Pike
Ste A
Sharon Hill, PA 19079

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 and National Provider Directory roles.

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": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725062400000",
    "number": "1558822767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 MARYLAND RD STE 400",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901225",
            "telephone_number": "215-481-4143",
            "fax_number": "215-481-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 HUDSON CT",
            "city": "HOLLAND",
            "state": "PA",
            "postal_code": "189662754",
            "telephone_number": "267-991-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUSHARINA",
        "first_name": "ANNA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-29",
        "last_updated": "2024-08-31",
        "certification_date": "2024-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP020071",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP020071",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP026823",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NR01137000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, PA

Sources for this page

Verify at the official NPI Registry.