Anna Derevyanko

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11049081 Issued in FL

Practice address

3365 Burns Rd Ste 101
Palm Beach Gardens, FL 33410-4302

Phone

(561) 775-1061

Fax

(561) 775-1064

NPI assigned

Jul 16, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Nurse Practitioner

Education

Other, 2026

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5866/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/BIIGBA

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.

• Allergy and Asthma Care of the Palm Beaches, PA

  • Allergy Physician
  • Jupiter, FL
  • NPI 1093864670
  NPD (past)
• Palm Beach Cardiology Center Inc

  • Cardiovascular Disease Physician
  • Palm Beach Gardens, FL
  • NPI 1598707937
  NPD (past)

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

{
    "created_epoch": "1784160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1962322453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 SHEFFIELD C",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334171565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 BURNS RD STE 101",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104302",
            "telephone_number": "561-775-1061",
            "fax_number": "561-775-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEREVYANKO",
        "first_name": "ANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-16",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11049081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Antonio Deolazabal, D.O.
• Joey Nicole Depaola
• Keri Depatis, PHARMD
• Paige Elizabeth Deprefontaine
• Nicholas J Deprima, PSY.D.
• Melissa Derry, BA
• Desert Rose FL LLC
• Daniel Deshommes, DPT
• Karishma Deshpande, PHARMD, RPH
• Miriam Mercius Desir

• Family Nurse Practitioner in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.