Individual provider Active NPI

Anna Chuyko, FNP-BC

  • Family Nurse Practitioner
  • Titusville, FL
National Provider Identifier
1811715915
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11035539 Issued in FL
Practice address
1250 Grumman PL Ste B
Titusville, FL 32780-7927
Phone
(321) 269-4240
NPI assigned
Sep 28, 2024
Last updated
Jun 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ15150200 NJ
Family Nurse Practitioner 363LF0000X 11035539 FL Primary

Addresses

Primary practice location

1250 Grumman PL Ste B
Titusville, FL 32780-7927

Mailing address

1008 Glendale Ave NW
Palm Bay, FL 32907-9232
Phone (347) 693-5724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL2 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
I20241031003407 NJ Practitioner - Nurse Practitioner 4789117557 Reassigns benefits to 1 organization
I20250328002308 FL Practitioner - Nurse Practitioner 4789117557 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11035539FLMDFamily Nurse Practitioner
26NJ15150200NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jersey Irish Medical CurrentSince Oct 1, 2024 Accepting new patients
Chaim Gitelis DO PC CurrentSince Mar 29, 2025 Accepting new patients
Medfast Urgent Care Centers LLC CurrentSince Mar 1, 2025 Accepting new patients
Medfast Urgent Care Centers, LLC CurrentSince Mar 1, 2025 Accepting new patients

Locations

333 W 41st St
Ste 414
Miami Beach, FL 33140
Phone (305) 538-8998

5005 Port St John Pkwy
Port St John, FL 32927
Phone (321) 504-0556

1400 Rockledge Blvd
Rockledge, FL 32955
Phone (321) 242-7425

601 W Union Ave
Bound Brook, NJ 08805
Phone (732) 469-3627

400 Westfield Ave
Elizabeth, NJ 07208
Phone (908) 428-8001

214 State Route 36
West Long Branch, NJ 07764
Phone (732) 222-8000

33 Corporate Dr
Orangeburg, NY 10962
Phone (732) 482-1664

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, 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": "1727481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1811715915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 GLENDALE AVE NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329079232",
            "telephone_number": "347-693-5724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 GRUMMAN PL STE B",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327807927",
            "telephone_number": "321-269-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUYKO",
        "first_name": "ANNA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-28",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15150200",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11035539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

Verify at the official NPI Registry.