Anna Ictchenko, PMHNP-BC - Nurse Practitioner in Forked River, NJ

Anna Ictchenko, PMHNP-BC is a Nurse Practitioner - Psychiatric/mental Health based in Forked River, New Jersey. Anna Ictchenko is licensed to practice in New Jersey (license number 26NJ15261500) and her current practice location is 34 Manchester Ave Ste 202, Forked River, New Jersey. She can be reached at her office (for appointments etc.) via phone at (973) 954-4592.

NPI number for Anna Ictchenko is 1265241459 and her current mailing address is 1 University Plz Ste 408, Hackensack, New Jersey. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265241459.

Contact Information

Anna Ictchenko, PMHNP-BC
34 Manchester Ave Ste 202,
Forked River, NJ 08731-1366
(973) 954-4592
(973) 954-4592

Map and Direction




Provider's Profile

Full NameAnna Ictchenko
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location34 Manchester Ave Ste 202, Forked River, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1265241459
  • Provider Enumeration Date: 01/02/2025
  • Last Update Date: 09/26/2025

Medical Identifiers

Medical identifiers for Anna Ictchenko such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265241459NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 26NJ15261500 (New Jersey)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Anna Ictchenko is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Anna Ictchenko, PMHNP-BC
1 University Plz Ste 408,
Hackensack, NJ 07601-6204

Ph: (973) 954-4592
Anna Ictchenko, PMHNP-BC
34 Manchester Ave Ste 202,
Forked River, NJ 08731-1366

Ph: (973) 954-4592

Reviews and Comments


Nurse Practitioner Nurses in Forked River, NJ

Kimberly Jobes, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 424 S Main St, Forked River, NJ 08731
Phone: 609-971-3500    Fax: 609-971-3545
Danielle Louise Sevastakis, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 424 S Main St, Forked River, NJ 08731
Phone: 609-971-3500    
Linda J. Hess, APN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 401 Lakeside Dr N, Forked River, NJ 08731
Phone: 609-971-7465    
Ms. Gianna Valerie Potts, MSN, APRN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 424 S Main St, Forked River, NJ 08731
Phone: 609-971-3500    
Sarah E Dapiran,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 503 Brentwood Rd, Forked River, NJ 08731
Phone: 609-234-5635    Fax: 609-234-5635
Mary Patricia Radd, MSN, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1001 Lacey Rd,, Forked River, NJ 08753
Phone: 609-693-8900    Fax: 609-971-2888

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.