ANASTASIA PSYCHIATRY PA
NPI 1770395147
Nurse Practitioner - Psychiatric/Mental Health in Naples, FL

Active since January 23, 2025
1812 HARBOR LN, NAPLES, FL 34104(239) 494-0040 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Anastasia Psychiatry Pa NPPES

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

ANASTASIA PSYCHIATRY PA (NPI 1770395147) is a healthcare organization registered as a psychiatric/mental health in Naples, Florida and active in the NPI registry since January 2025. The organization lists Elizabeth Ross, Credentialin, as its authorized official.

NPPES Registry Identity

NPI1770395147
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameANASTASIA PSYCHIATRY PA
Location Address1812 HARBOR LNNaples, FL 34104-4274
Mailing Address1812 Harbor LnNaples, FL 34104-4274 · (239) 494-0040
Organization SubpartNo
Authorized OfficialElizabeth RossCredentialin · (239) 732-1133
Enumeration DateJanuary 23, 2025
Last NPPES UpdateJanuary 24, 2025
NPPES CertifiedJanuary 24, 2025
✔ NPI 1770395147 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
1812 HARBOR LN, Naples, FL 34104

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anastasia Psychiatry Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Anastasia Psychiatry PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1790383073
1812 HARBOR LN
Naples, FL 34104
(239) 494-0040
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Anastasia Psychiatry PA's NPI number?

The NPI number for Anastasia Psychiatry PA is 1770395147. It was assigned to this organization in the NPPES registry on January 23, 2025.

Where is Anastasia Psychiatry PA located?

Anastasia Psychiatry PA is located at 1812 Harbor Ln, Naples, FL 34104. The listed phone number is (239) 494-0040.

What is Anastasia Psychiatry PA's specialty?

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

Is Anastasia Psychiatry PA enrolled in Medicare?

Yes. Anastasia Psychiatry PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Anastasia Psychiatry PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Anastasia Psychiatry PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Anastasia Psychiatry PA was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.