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

Dr. Anna Yanisko

Individual provider Nurse Practitioner · NPI 1780362780

Dr. Anna Yanisko is a Nurse Practitioner in Carmel Hamlet, New York. Qualified in 2024, 2 years ago. Practices with Divinity Medical Services PLLC, a 93-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2023

Practice location Address checks out

670 Stoneleigh Ave
Carmel Hamlet, NY 10512
Phone: (845) 279-5711
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 352853 (NY)

Record details

NPI number1780362780
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 10, 2023
Last updated in NPPESOctober 10, 2023
Certification dateSeptember 22, 2023
Mailing address670 Stoneleigh Ave, Carmel, NY 10512-3997

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 Divinity Medical Services Pllc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare