Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Acksa Chacko Kucharyson, PA-C

Individual provider Physician Assistant · NPI 1174861405

Acksa Chacko Kucharyson, PA-C is a Physician Assistant in Melbourne, Florida. Qualified in 2012, 14 years ago. Practices with Independent Lung Associates, PA, an 18-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Michigan.

Years since qualifying
14
Licensed in
FL, MI
In the registry since
2013
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1314 Oak St
Melbourne, FL 32901-3111
Phone: (321) 727-7992
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 Wall Street, Ann Arbor, MI 48105-1912 — (734) 764-4190

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9110285 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA9110285 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 5601006555 (MI)

Record details

NPI number1174861405
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 22, 2013
Last updated in NPPESJanuary 21, 2025
Certification dateJanuary 21, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Independent Lung Associates, Pa — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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