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

Anna Ictchenko, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Forked River, New Jersey. She graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Success Tms Professional Services New Jersey Llc and her current practice location is 34 Manchester Ave Ste 202, Forked River, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 954-4592.

Anna Ictchenko is licensed to practice in New Jersey (license number 26NJ15261500) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and 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
Experience2 Years
Location34 Manchester Ave Ste 202, Forked River, New Jersey
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Anna Ictchenko graduated from nursing school in 2024
  NPI Data:
  • NPI Number: 1265241459
  • Provider Enumeration Date: 01/02/2025
  • Last Update Date: 09/26/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5496252843
  • Enrollment ID: I20251010000234

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

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Success Tms Professional Services New Jersey Llc963859224915

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 enrolled with medicare and thus, if eligible, can 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
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Practice Location: 424 S Main St, Forked River, NJ 08731
Phone: 609-971-3500    Fax: 609-971-3545
Danielle Louise Sevastakis, FNP-C
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Practice Location: 424 S Main St, Forked River, NJ 08731
Phone: 609-971-3500    
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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: Medicare Enrolled
Practice Location: 424 S Main St, Forked River, NJ 08731
Phone: 609-971-3500    
Sarah E Dapiran,
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Medicare: Accepting Medicare Assignments
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.