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ANNA DEREVYANKO
NPI 1962322453
Nurse Practitioner - Family in Palm Beach Gardens, FL

Active since July 16, 2026PECOS Enrolled
3365 BURNS RD STE 101, PALM BEACH GARDENS, FL 33410(561) 775-1061(561) 775-1064 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Anna Derevyanko NPPES

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

ANNA DEREVYANKO (NPI 1962322453) is an individual family provider in Palm Beach Gardens, Florida, licensed in Florida (11049081) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1962322453
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANNA DEREVYANKO
Location Address3365 BURNS RD STE 101Palm Beach Gardens, FL 33410-4302
Mailing Address64 Sheffield CWest Palm Beach, FL 33417-1565
Phone(561) 775-1061
Fax(561) 775-1064
Sole ProprietorYes
Medical School CMSOtherGraduated 2026
Enumeration DateJuly 16, 2026
NPPES CertifiedJuly 16, 2026
✔ NPI 1962322453 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 FL · 11049081
3365 BURNS RD STE 101, Palm Beach Gardens, FL 33410
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID5890251714
PECOS Enrollment IDI20260730006054
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 Reassignment

Medicare enrollment records show Anna Derevyanko reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Palm Beach Cardiology Center Inc
Same address
Cardiovascular Disease
3365 BURNS RD, SUITE 101
Palm Beach Gardens, FL 33410
  • Reassigned Medicare billing, Florida enrollment
  • 13 clinicians in this Medicare group
NPI 1598707937 (561) 775-1061

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 33410 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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 3

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

RITA ADHIKARI FNP
Family Medicine
3365 BURNS RD STE 101
PALM BEACH GARDENS, FL 33410
Palm Beach County (561) 775-1061
ERIN REBECCA RATHJEN ARNP
Nurse Practitioner (Family)
3365 BURNS RD STE 101
PALM BEACH GARDENS, FL 33410
Palm Beach County (561) 775-1061
DR. ADRIANNE LYNN DIMAURO DNP, APRN, FNP-C
Nurse Practitioner (Family)
3365 BURNS RD STE 101
PALM BEACH GARDENS, FL 33410
Palm Beach County (561) 775-1061

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 Derevyanko's NPI number?

The NPI number for Anna Derevyanko is 1962322453. It was assigned to this individual provider in the NPPES registry on July 16, 2026.

Where is Anna Derevyanko located?

Anna Derevyanko practices at 3365 Burns Rd Ste 101, Palm Beach Gardens, FL 33410. The listed phone number is (561) 775-1061.

What is Anna Derevyanko's specialty?

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

Is Anna Derevyanko enrolled in Medicare?

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

Which organization bills Medicare for Anna Derevyanko's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anna Derevyanko reassigns Medicare benefits to Palm Beach Cardiology Center Inc (Palm Beach Gardens, FL). The 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 Anna Derevyanko'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 Anna Derevyanko was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.