ALEKSANDR ANATOLYEVICH KASYANCHUK
NPI 1124805031
Nurse Practitioner - Psychiatric/Mental Health in Port Orchard, WA

Q: What is Aleksandr Kasyanchuk's NPI number?

The NPI number for Aleksandr Kasyanchuk is 1124805031. It was assigned to this individual provider in the NPPES registry on September 13, 2023.

Q: What is Aleksandr Kasyanchuk's specialty?

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

Active since September 13, 2023PECOS Enrolled

320 S KITSAP BLVD, PORT ORCHARD, WA 98366(360) 377-3776 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Aleksandr Anatolyevich Kasyanchuk NPPES

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

ALEKSANDR ANATOLYEVICH KASYANCHUK (NPI 1124805031) is an individual psychiatric/mental health provider in Port Orchard, Washington, licensed in Washington (AP61482837) and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124805031

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameALEKSANDR ANATOLYEVICH KASYANCHUK

Location Address320 S KITSAP BLVDPort Orchard, WA 98366-3778

Mailing Address14134 110th Ave NeKirkland, WA 98034-4480

Phone(360) 377-3776

Sole ProprietorNo

Enumeration DateSeptember 13, 2023

NPPES CertifiedSeptember 13, 2023

✔ NPI 1124805031 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 WA · AP61482837

320 S KITSAP BLVD, Port Orchard, WA 98366

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Aleksandr Anatolyevich Kasyanchuk is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98366 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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 18

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

PENINSULA COMMUNITY HEALTH SERVICES

Clinic/Center (Federally Qualified Health Center (FQHC))