Anastasia Tereschuk-Phillips

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

4704300715 Issued in MI

Practice address

425 W Sanilac Rd
Sandusky, MI 48471-1072

Phone

(615) 509-2664

NPI assigned

Jan 28, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 8

Addresses

Other identifiers 3

Other names 1

• Mrs. Anastasia Mikel Tereschuk Professional name

Medicare fee-for-service enrollment

Enrolled in NH

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

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Androscoggin Valley Hospital IncGroup PAC ID 2365350725, shared by 3 NPIs, 61 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Androscoggin Valley Hospital Hospital, Berlin, NH, CCN 301310
• Upper Connecticut Valley Hospital Hospital, Colebrook, NH, CCN 301300

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Androscoggin Valley Hospital Inc

  • General Practice Physician
  • Berlin, NH
  • NPI 1679526644
  Medicare reassignment NPD
• Androscoggin Valley Hospital, Inc.

  • Critical Access Hospital
  • Berlin, NH
  • NPI 1386680593
  Medicare reassignment NPD
• Androscoggin Valley Hospital, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Berlin, NH
  • NPI 1134266679
  NPD
• Brightside Medical, P.C.

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1801355482
  NPD (past)
• Dixon Center of Chiropractic Inc

  • Chiropractor
  • Nashville, TN
  • NPI 1437358025
  NPD (past)
• Mid- TN Therapeutic Clinic

  • Orthopaedic Surgery Physician
  • Murfreesboro, TN
  • NPI 1598021784
  NPD (past)

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

• Androscoggin Valley Hospital

  • Durable Medical Equipment & Medical Supplies
  • Berlin, NH
  • NPI 1235267451

  Hospital

  Care Compare affiliation
• Androscoggin Valley Hospital Inc

  • General Practice Physician
  • Berlin, NH
  • NPI 1679526644

  Hospital

  Care Compare affiliation
• Androscoggin Valley Hospital, Inc.

  • Critical Access Hospital
  • Berlin, NH
  • NPI 1386680593
  Care Compare affiliation
• Upper Connecticut Valley Hospital Association

  • Critical Access Hospital
  • Colebrook, NH
  • NPI 1861489437
  Care Compare affiliation

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1720319940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W SANILAC RD",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "484711072",
            "telephone_number": "615-509-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W SANILAC RD",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "484711072",
            "telephone_number": "615-509-2664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "59 Page Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "NH",
            "postal_code": "035703542",
            "country_code": "US",
            "telephone_number": "603-752-2300",
            "fax_number": "603-752-6474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERESCHUK-PHILLIPS",
        "first_name": "ANASTASIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-28",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3014541",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "087547-23",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "157417",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP191044",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NH",
            "license": "087547-23",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "14696",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11017928",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704300715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3073139",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1031505037",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518627",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANASTASIA",
            "last_name": "TERESCHUK",
            "middle_name": "MIKEL",
            "prefix": "MRS.",
            "credential": "MSN ACNP-BC PMHNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Charlotte Ilene Sygit, RN
• Carly Szyska
• Jill Ellen Tanton, RN
• Jaimie Taylor
• TDS Pharmacy Inc
• Nancy Tezak
• Lindsay Theobald, LLMSW
• Lori Ann Thomas, B.A., LBSW
• Mary R. Thompson, LMSW
• Paul Jeffrey Thompson, MA LPC, LBSW

• Psychiatric/Mental Health Nurse Practitioner in Sandusky, MI
• Providers in Sandusky, MI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.