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

Active since September 13, 2023PECOS EnrolledAccepts Medicare Assignment
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: July 19, 2026.

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 and is a graduate of Other (2023).

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
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
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

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

Aleksandr Anatolyevich Kasyanchuk 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 ID1557897980
PECOS Enrollment IDI20241210000112
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 17

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

Internal Medicine
320 S KITSAP BLVD
PORT ORCHARD, WA 98366
Physician Assistant
320 S KITSAP BLVD
PORT ORCHARD, WA 98366
Pediatrics
320 S KITSAP BLVD
PORT ORCHARD, WA 98366
Nurse Practitioner
320 S KITSAP BLVD
PORT ORCHARD, WA 98366
Dietitian, Registered
320 S KITSAP BLVD
PORT ORCHARD, WA 98366
Nurse Practitioner (Psychiatric/Mental Health)
320 S KITSAP BLVD
PORT ORCHARD, WA 98366
Counselor (Addiction (Substance Use Disorder))
320 S KITSAP BLVD
PORT ORCHARD, WA 98366
Pharmacy (Community/Retail Pharmacy)
320 S KITSAP BLVD
PORT ORCHARD, WA 98366

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124805031, enumerated as an "individual" on September 13, 2023.

The provider is located at 320 S KITSAP BLVD PORT ORCHARD, WA 98366 and the phone number is (360) 377-3776.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.