Individual provider Active NPI

Annushka Cesan, ARNP

  • Nurse Practitioner
  • Mount Vernon, WA
National Provider Identifier
1629493416
Registry record updated Mar 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60423172 Issued in WA
Practice address
300 S 18TH St
Mount Vernon, WA 98274-4661
Phone
(360) 424-1320
NPI assigned
Mar 3, 2014
Last updated
Mar 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP60423172 WA Primary

Addresses

Primary practice location

300 S 18TH St
Mount Vernon, WA 98274-4661

Mailing address

5 Clear Lake CT
Bellingham, WA 98229-7905
Phone (206) 265-2181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, NM2 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
I20140506000023 WA Practitioner - Nurse Practitioner 9537392170 Reassigns benefits to 3 organizations
I20240419001673 NM Practitioner - Nurse Practitioner 9537392170 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cura Healthcare CurrentSince Mar 20, 2024 Accepting new patients
Telecare Mental Health Services of Washington, Inc. CurrentSince Jun 8, 2019 Accepting new patients
Telecare Mental Health Services of Washington, Inc Current Accepting new patients
Telecare Mental Health Services of Washington Inc CurrentSince Jun 8, 2019 Accepting new patients
Olympus Medical House Calls Nurse Practitioner Past Accepting new patients

Locations

1080 Marina Village Pkwy
Ste 100
Alameda, CA 94501
Phone (510) 306-5660

8226 Menaul Blvd NE
Albuquerque, NM 87110
Phone (505) 413-3719

5821 188th St SW
Lynnwood, WA 98037
Phone (425) 776-5512

7683 SE 27th St
Mercer Island, WA 98040
Phone (206) 228-8530

9601 Steilacoom Blvd SW
Bldg 27
Tacoma, WA 98498
Phone (253) 589-5334

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521417600000",
    "number": "1629493416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CLEAR LAKE CT",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982297905",
            "telephone_number": "206-265-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S 18TH ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744661",
            "telephone_number": "360-424-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CESAN",
        "first_name": "ANNUSHKA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-03",
        "last_updated": "2018-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60423172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

Verify at the official NPI Registry.