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MRS. ANISHA SARA CHACKO NP
NPI 1891452959
Nurse Practitioner - Family in Brentwood, NY

Active since November 23, 2021PECOS EnrolledAccepts Medicare Assignment
55 2ND AVE UNIT 2, BRENTWOOD, NY 11717(631) 983-3237(631) 961-8775 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 5, 2025, Sep 16, 2025, Nov 23, 2021 (3 updates tracked since 2021).

About Mrs. Anisha Sara Chacko Np NPPES

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

MRS. ANISHA SARA CHACKO NP (NPI 1891452959) is an individual family provider in Brentwood, New York, licensed in New York (347205) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1891452959
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. ANISHA SARA CHACKOCredential: NP
Location Address55 2ND AVE UNIT 2Brentwood, NY 11717-4665
Mailing Address72 Fulton AveHempstead, NY 11550-3651 · (516) 559-7880 · Fax (929) 481-5268
Phone(631) 983-3237
Fax(631) 961-8775
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 23, 2021
Last NPPES UpdateNovember 5, 20253 updates tracked since enumeration
NPPES CertifiedNovember 5, 2025
✔ NPI 1891452959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 347205
55 2ND AVE UNIT 2, Brentwood, NY 11717
Open in Google Maps ↗

Other Names 1

Other Name (5)Mrs. Anisha Sara Chacko

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Anisha Sara Chacko Np 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 ID7911374798
PECOS Enrollment IDI20221108001373
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Anisha Chacko reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hollis Ak LLC
28 mi
Multi-Specialty
19002 JAMAICA AVE
Jamaica, NY 11423
  • Reassigned Medicare billing, New York enrollment
  • 18 clinicians in this Medicare group
NPI 1295454650 (718) 577-2211
All Care Family Medicine P.C.
31 mi
Family Medicine
11220 LIBERTY AVE
South Richmond Hill, NY 11419
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: All Care Family Medicine, PC
  • 14 clinicians in this Medicare group
NPI 1821333105 (718) 554-6600
Alexios Apazidis, M.D., PC
39 mi
Orthopaedic Surgery of the Spine
3820 NOSTRAND AVE STE 102
Brooklyn, NY 11235
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Alexios Apazidis MD PC
  • 3 clinicians in this Medicare group
NPI 1245607126 (718) 908-8884

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11717 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 4

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

USEMMA KHAN RN
Registered Nurse
55 2ND AVE UNIT 2
BRENTWOOD, NY 11717
Suffolk County (917) 670-0948
AQSA CHAUDHRI NP
Nurse Practitioner (Adult Health)
55 2ND AVE UNIT 2
BRENTWOOD, NY 11717
Suffolk County (631) 983-3237
MUBUSHAR IKRAM RAZA
Nurse Practitioner (Adult Health)
55 2ND AVE UNIT 2
BRENTWOOD, NY 11717
Suffolk County (631) 983-3237
STATION CARE NP IN ADULT HEALTH PC
Nurse Practitioner (Adult Health)
55 2ND AVE UNIT 2
BRENTWOOD, NY 11717
Suffolk County (631) 983-3237

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 Anisha Chacko's NPI number?

The NPI number for Anisha Chacko is 1891452959. It was assigned to this individual provider in the NPPES registry on November 23, 2021. The provider is also known as Mrs. Anisha Sara Chacko.

Where is Anisha Chacko located?

Anisha Chacko practices at 55 2nd Ave Unit 2, Brentwood, NY 11717. The listed phone number is (631) 983-3237.

What is Anisha Chacko's specialty?

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

Is Anisha Chacko enrolled in Medicare?

Yes. Anisha Chacko 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.

Which organizations bill Medicare for Anisha Chacko's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anisha Chacko reassigns Medicare benefits to 3 organizations: Hollis Ak LLC (Jamaica, NY), All Care Family Medicine P.C. (South Richmond Hill, NY) and Alexios Apazidis, M.D., PC (Brooklyn, NY). Each 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 Anisha Chacko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Anisha Chacko was last updated on November 5, 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.