ANNA KHUTORETSKY
NPI 1083574040
Nurse Practitioner - Psychiatric/Mental Health in Red Bank, NJ

Active since November 13, 2025PECOS EnrolledAccepts Medicare Assignment
460 W FRONT ST, RED BANK, NJ 07701(917) 476-7786 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Anna Khutoretsky NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNA KHUTORETSKY (NPI 1083574040) is an individual psychiatric/mental health provider in Red Bank, New Jersey, licensed in New Jersey (26NJ15462000) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS, is affiliated with Monmouth Medical Center-southern Campus, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1083574040
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameANNA KHUTORETSKY
Location Address460 W FRONT STRed Bank, NJ 07701-5512
Mailing Address460 W Front StRed Bank, NJ 07701-5512
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 13, 2025
NPPES CertifiedNovember 13, 2025
NPI 1083574040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NJ · 26NJ15462000
460 W FRONT ST, Red Bank, NJ 07701

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Anna Khutoretsky is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567943699
PECOS Enrollment IDI20260226000372
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Monmouth Medical Center-Southern Campus

Acute Care Hospitals · Lakewood, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310084
Location600 River AveLakewood, NJ 08701 · Ocean County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
460 W FRONT ST
RED BANK, NJ 07701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anna Khutoretsky's NPI number?

The NPI number for Anna Khutoretsky is 1083574040. It was assigned to this individual provider in the NPPES registry on November 13, 2025.

Where is Anna Khutoretsky located?

Anna Khutoretsky practices at 460 W Front St, Red Bank, NJ 07701. The listed phone number is (917) 476-7786.

What is Anna Khutoretsky's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Anna Khutoretsky enrolled in Medicare?

Yes. Anna Khutoretsky is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Anna Khutoretsky affiliated with any hospitals?

According to CMS data, Anna Khutoretsky is affiliated with Monmouth Medical Center-Southern Campus.

When was this NPI record last updated?

The NPPES record for Anna Khutoretsky was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.