Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anna Ictchenko, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1265241459

Anna Ictchenko, PMHNP-BC is a Nurse Practitioner in Forked River, New Jersey. Qualified in 2024, 2 years ago. Practices with Success TMS Professional Services New Jersey LLC, a 16-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
2
Licensed in
NJ
In the registry since
2025
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

34 Manchester Ave Ste 202
Forked River, NJ 08731-1366
Phone: (973) 954-4592
Fax: (973) 954-4592
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 303 W Main St Ste 350, Freehold, NJ 07728-4832 — (973) 954-4592
  • 1000 Herrontown Rd Ste 100, Princeton, NJ 08540-7716 — (973) 954-4592

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 26NJ15261500 (NJ)

Record details

NPI number1265241459
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedJanuary 2, 2025
Last updated in NPPESSeptember 26, 2025
Certification dateSeptember 26, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Success Tms Professional Services New Jersey Llc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Forked River