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ANNA ICTCHENKO PMHNP-BC
NPI 1265241459
Nurse Practitioner - Psychiatric/Mental Health in Forked River, NJ

Active since January 02, 2025PECOS EnrolledAccepts Medicare Assignment
34 MANCHESTER AVE STE 202, FORKED RIVER, NJ 08731(973) 954-4592(973) 954-4592 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Anna Ictchenko Pmhnp-bc NPPES

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

ANNA ICTCHENKO PMHNP-BC (NPI 1265241459) is an individual psychiatric/mental health provider in Forked River, New Jersey, licensed in New Jersey (26NJ15261500) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1265241459
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameANNA ICTCHENKOCredential: PMHNP-BC
Location Address34 MANCHESTER AVE STE 202Forked River, NJ 08731-1366
Mailing Address1 University Plz Ste 408Hackensack, NJ 07601-6204 · (973) 954-4592 · Fax (973) 954-4592
Phone(973) 954-4592
Fax(973) 954-4592
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 2, 2025
Last NPPES UpdateSeptember 26, 2025
NPPES CertifiedSeptember 26, 2025
✔ NPI 1265241459 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 · 26NJ15261500
34 MANCHESTER AVE STE 202, Forked River, NJ 08731
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11000 Herrontown Rd Ste 100Princeton, NJ 08540-7716 · Phone (973) 954-4592 · Fax (973) 954-4592
Location 2303 W Main St Ste 350Freehold, NJ 07728-4832 · Phone (973) 954-4592 · Fax (973) 954-4592

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 Ictchenko Pmhnp-bc 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 ID5496252843
PECOS Enrollment IDI20251010000234
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 08731 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.

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 Ictchenko's NPI number?

The NPI number for Anna Ictchenko is 1265241459. It was assigned to this individual provider in the NPPES registry on January 2, 2025.

Where is Anna Ictchenko located?

Anna Ictchenko practices at 34 Manchester Ave Ste 202, Forked River, NJ 08731. The listed phone number is (973) 954-4592.

What is Anna Ictchenko's specialty?

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

Is Anna Ictchenko enrolled in Medicare?

Yes. Anna Ictchenko 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.

When was this NPI record last updated?

The NPPES record for Anna Ictchenko was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.