Active NPI
Katerina Yanushevich
- Certified Registered Nurse Anesthetist
- Waterbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN11033340
- Practice address
- 64 Robbins St
Waterbury, CT 06708-2613 - Phone
- (203) 573-6000
- NPI assigned
- Jan 14, 2016
- Reactivated
- May 20, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 25192 | SC | |
| Certified Registered Nurse Anesthetist | 367500000X | 0024186130 | VA | |
| Certified Registered Nurse Anesthetist | 367500000X | 11267 | CT | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Certified Registered Nurse Anesthetist | 367500000X | APRN11033340 | FL | Primary |
Addresses
Primary practice location
64 Robbins St
Waterbury, CT 06708-2613
Mailing address
PO Box 751461
Charlotte, NC 28275-1461
Phone (843) 792-6200
Other practice location 1
171 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, CT, DC, VA, ID
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
171 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414
3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3600
44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 858-6000
Hospital & facility affiliations
- Musc Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.15 of 100
- Quality
- 83.18
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11033340 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of Virginia, PC | Current | Accepting new patients | |
| North American Partners in Anesthesia Connecticut PC | Current | Accepting new patients | |
| Medical University Hospital Authority | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| St Alphonsus Professional Medical Services LLC | Current | Accepting new patients | |
| Medical University Hospital Authority | Current | Accepting new patients | |
| Medical University Hospital Authority | Current | Accepting new patients | |
| American Anesthesiology of Virginia PC | Current | Accepting new patients | |
| Inova Cares - Community | Current | Accepting new patients | |
| St Alphonsus Professional Medical Services LLC | Current | Accepting new patients |
Locations
100 Grand St
New Britain, CT 06052
Phone (860) 224-5011
64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142
1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
1 Poston Rd
Ste 110
Charleston, SC 29407
Phone (843) 876-1347
171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123
3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040
Organizations & group practices 9
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.
-
- Certified Registered Nurse Anesthetist
- Charleston, SC
- NPI 1255305876
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- New Britain, CT
- NPI 1316994775
-
- Anesthesiology Physician
- Boise, ID
- NPI 1386677524
-
- Anesthesiology Physician
- Leesburg, VA
- NPI 1053675199
-
- Children's Rehabilitation Hospital
- Charleston, SC
- NPI 1659101277
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1659435840
-
- Trauma Surgery Physician
- Boise, ID
- NPI 1336166883
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1073605879
-
- Rehabilitation Hospital
- Orangeburg, SC
- NPI 1154020147
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1659435840
-
- Psychiatric Hospital
- Orangeburg, SC
- NPI 1669171740
-
- General Acute Care Hospital
- Orangeburg, SC
- NPI 1710683354
-
- General Acute Care Hospital
- Orangeburg, SC
- NPI 1770280299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733356800000",
"number": "1851757256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751461",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751461",
"telephone_number": "843-792-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 ROBBINS ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067082613",
"telephone_number": "203-573-6000"
}
],
"practiceLocations": [
{
"address_1": "171 Ashley Ave",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294258908",
"country_code": "US",
"telephone_number": "843-792-1414",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YANUSHEVICH",
"first_name": "KATERINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-14",
"last_updated": "2024-12-05",
"certification_date": "2024-12-05",
"deactivation_date": "2016-12-13",
"reactivation_date": "2021-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "25192",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024186130",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CT",
"license": "11267",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN11033340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.