ANNA AVAZHANSKIY CRNP
NPI 1508641713
Nurse Practitioner - Family in Mount Airy, MD

Active since August 28, 2023PECOS Enrolled
6805 RUNKLES RD, MOUNT AIRY, MD 21771(646) 417-0262 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 14, 2025, Aug 28, 2023 (2 updates tracked since 2023).

About Anna Avazhanskiy Crnp NPPES

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

ANNA AVAZHANSKIY CRNP (NPI 1508641713) is an individual family provider in Mount Airy, Maryland, licensed in Maryland (R199222) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1508641713
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANNA AVAZHANSKIYCredential: CRNP
Location Address6805 RUNKLES RDMount Airy, MD 21771-7319
Mailing Address6805 Runkles RdMount Airy, MD 21771-7319 · (646) 417-0262 · Fax (240) 202-4105
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 28, 2023
Last NPPES UpdateMarch 14, 20252 updates tracked since enumeration
NPPES CertifiedMarch 14, 2025
NPI 1508641713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MD · R199222
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License R199222 (MD)
6805 RUNKLES RD, Mount Airy, MD 21771

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Anna Avazhanskiy Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789033150
PECOS Enrollment IDI20250828003012
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 21771 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

Nutritionist (Nutrition, Education)
6805 RUNKLES RD
MOUNT AIRY, MD 21771

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 Avazhanskiy's NPI number?

The NPI number for Anna Avazhanskiy is 1508641713. It was assigned to this individual provider in the NPPES registry on August 28, 2023.

Where is Anna Avazhanskiy located?

Anna Avazhanskiy practices at 6805 Runkles Rd, Mount Airy, MD 21771. The listed phone number is (646) 417-0262.

What is Anna Avazhanskiy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Anna Avazhanskiy enrolled in Medicare?

Yes. Anna Avazhanskiy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Anna Avazhanskiy was last updated on March 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.