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TIMOTHY KANCZUGA FNP-BC
NPI 1295282598
Nurse Practitioner in Brattleboro, VT

Active since September 02, 2016PECOS EnrolledAccepts Medicare Assignment
1 ANNA MARSH LANE, BRATTLEBORO, VT 05301(802) 258-3700 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2019, May 21, 2019, Sep 2, 2016 (3 updates tracked since 2016).

About Timothy Kanczuga Fnp-bc NPPES

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

TIMOTHY KANCZUGA FNP-BC (NPI 1295282598) is an individual nurse practitioner in Brattleboro, Vermont, licensed in Vermont (101.0134267) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1295282598
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameTIMOTHY KANCZUGACredential: FNP-BC
Location Address1 ANNA MARSH LANEBrattleboro, VT 05301
Mailing Address1 Anna Marsh LaneBrattleboro, VT 05301 · (802) 257-7785
Phone(802) 258-3700
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 2, 2016
Last NPPES UpdateJune 11, 20193 updates tracked since enumeration
✔ NPI 1295282598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in VT · 101.0134267
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 026.0128223 (VT), 4704311906 (MI)
1 ANNA MARSH LANE, Brattleboro, VT 05301
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

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

Timothy Kanczuga Fnp-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 ID840533568
PECOS Enrollment IDI20190521003002
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
338 services29 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
42 services12 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
27 services25 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05301 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
$85.89 typical visit price
range $55.80 – $168.48
Typical copayment $21.47 (range $13.95 – $42.12)
Most-billed visit code 99203
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
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 19

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

SAMANTHA NADEAU
Physician Assistant
1 ANNA MARSH LANE
BRATTLEBORO, VT 05301
Windham County (802) 257-7787
LAURA DEROCHER CPHT
Pharmacy Technician
1 ANNA MARSH LANE
BRATTLEBORO, VT 05301
Windham County (802) 258-3739
ELLEN PATRICIA CLANCY MSW
Social Worker (Clinical)
1 ANNA MARSH LANE
BRATTLEBORO, VT 05301
Windham County (802) 257-7785
HELEN MURPHY APRN
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
1 ANNA MARSH LANE
BRATTLEBORO, VT 05301
Windham County (802) 258-4392
DYLAN SMITH
Pharmacist
1 ANNA MARSH LANE
BRATTLEBORO RETREAT, VT 05301
Windham County (802) 258-3739
TIMOTHY ROWLAND M.D.
Psychologist (Cognitive & Behavioral)
1 ANNA MARSH LANE
BRATTLEBORO, VT 05301
Windham County (802) 257-7785
LYNN F MIKOLAJCZAK
Social Worker (Clinical)
1 ANNA MARSH LANE
BRATTLEBORO, MA 05301
Windham County (802) 258-6193
JOSEPH W. GRUTTA LICSW
Social Worker (Clinical)
1 ANNA MARSH LANE
BRATTLEBORO, VT 05301
Windham County (802) 387-0020

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 Timothy Kanczuga's NPI number?

The NPI number for Timothy Kanczuga is 1295282598. It was assigned to this individual provider in the NPPES registry on September 2, 2016.

Where is Timothy Kanczuga located?

Timothy Kanczuga practices at 1 Anna Marsh Lane, Brattleboro, VT 05301. The listed phone number is (802) 258-3700.

What is Timothy Kanczuga's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Timothy Kanczuga enrolled in Medicare?

Yes. Timothy Kanczuga 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.

What insurance does Timothy Kanczuga accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Timothy Kanczuga as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Timothy Kanczuga was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.