ANNA ZINCHENKO (NP) – Nurse Practitioner, NPI 1104801711

ANNA ZINCHENKO (NP) is a healthcare provider. based in Brockton, Massachusetts. specializing in Nurse Practitioner. They hold the professional credentials NP. They hold a License No. 216319 (MA). The NPI Number for ANNA ZINCHENKO (NP) is 1104801711

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
ANNA ZINCHENKO (NP)
NPI
1104801711
Phone
(508) 941-7885
Address
680 CENTRE STREET
Enumeration Date
7 December 2005
Last Update Date
5 November 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5088940400
Graduation Year
1997 (29 years ago)
PAC ID
1355387432
Group Practice PAC ID
7719876267
Professional Enrollment ID
I20050629000146
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for ANNA ZINCHENKO (NP)

  • Signature Healthcare Brockton Hospital, 680, Centre Street, Brockton, Plymouth County, Massachusetts, 02302, United States

    BROCKTON, MA 02302

    Phone: (508) 941-7885

    Fax: (508) 941-6337

    Type: Mailing

  • 110, Liberty Street, Marshall Corner, Brockton, Plymouth County, Massachusetts, 02357, United States

    BROCKTON, MA 02301

    Phone: (508) 894-0400

    Fax: (508) 894-0332

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02302)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719876267View full group profile
NameSpecialtyState
-MA
General SurgeryIL
E N D O C R I N O L O G YMI
-CA
Internal MedicineMA
-NY
O B S T E T R I C S/ G Y N E C O L O G YMA
-MA
Orthopedic SurgeryMA
-NY

Reviews

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Frequently asked questions

How do payers reference ANNA ZINCHENKO (NP)?
For ANNA ZINCHENKO (NP), use NPI 1104801711 as the unique 10-digit identifier.
Is ANNA ZINCHENKO (NP) shown as active in public data?
Registry records indicate ANNA ZINCHENKO (NP) maintains an active NPI.
How would a patient describe ANNA ZINCHENKO (NP)'s focus?
For ANNA ZINCHENKO (NP), the primary taxonomy reads as Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ANNA ZINCHENKO (NP)?
Travel planning: use Brockton, Massachusetts as the reference point for ANNA ZINCHENKO (NP), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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