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

Timothy Kanczuga, FNP-BC

Individual provider Registered Nurse · NPI 1295282598

Timothy Kanczuga, FNP-BC is a Nurse Practitioner in Brattleboro, Vermont. Qualified in 2016, 10 years ago. Practices with Brattleboro Retreat, a 61-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan and Vermont.

Years since qualifying
10
Licensed in
MI, VT
In the registry since
2016
Specialties on file
3
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1 Anna Marsh Ln
Brattleboro, VT 05301
Phone: (802) 258-3700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 101.0134267 (VT)
Registered Nurse Taxonomy 163W00000X · Licence 026.0128223 (VT)
Registered Nurse Taxonomy 163W00000X · Licence 4704311906 (MI)

Record details

NPI number1295282598
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedSeptember 2, 2016
Last updated in NPPESJune 11, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Brattleboro Retreat — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Brattleboro