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DR. ELENA NIKONOVA MD
NPI 1013576230
Student in an Organized Health Care Education/Training Program in Traverse City, MI

Active since June 11, 2019PECOS Enrolled
1400 MEDICAL CAMPUS DR, TRAVERSE CITY, MI 49684(231) 935-8000(231) 935-8099 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 23, 2026, Jun 11, 2019 (2 updates tracked since 2019).

About Dr. Elena Nikonova Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ELENA NIKONOVA MD (NPI 1013576230) is an individual student in an organized health care education/training program in Traverse City, Michigan and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013576230
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. ELENA NIKONOVACredential: MD
Location Address1400 MEDICAL CAMPUS DRTraverse City, MI 49684-7823
Mailing Address1400 Medical Campus DrTraverse City, MI 49684-7823 · (231) 935-8000 · Fax (231) 935-8099
Phone(231) 935-8000
Fax(231) 935-8099
Sole ProprietorNo
Enumeration DateJune 11, 2019
Last NPPES UpdateMarch 23, 20262 updates tracked since enumeration
NPPES CertifiedMarch 23, 2026
✔ NPI 1013576230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1400 MEDICAL CAMPUS DR, Traverse City, MI 49684
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Elena Nikonova Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SATYA PILLAY DO
Family Medicine
1400 MEDICAL CAMPUS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-8000
SAMANTHA K WINDLE D.O.
Family Medicine
1400 MEDICAL CAMPUS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-8000
KAITLYN LEE KILPATRICK DO
Family Medicine
1400 MEDICAL CAMPUS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-8000
DR. GWENDOLYN M GRAVELIE MD
Family Medicine
1400 MEDICAL CAMPUS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-8000
JACOB GEORGE FLYNN M.D.
Family Medicine
1400 MEDICAL CAMPUS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-8000
BREANNA TRIBELHORN MD
Student in an Organized Health Care Education/Training Program
1400 MEDICAL CAMPUS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-8000
NATALIE A GRAY MD
Family Medicine
1400 MEDICAL CAMPUS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-8031
MIRIAM JANELLE RIENSTRA-BAREMAN MPH, MD
Family Medicine
1400 MEDICAL CAMPUS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-8012

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elena Nikonova's NPI number?

The NPI number for Elena Nikonova is 1013576230. It was assigned to this individual provider in the NPPES registry on June 11, 2019.

Where is Elena Nikonova located?

Elena Nikonova practices at 1400 Medical Campus Dr, Traverse City, MI 49684. The listed phone number is (231) 935-8000.

What is Elena Nikonova's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Elena Nikonova enrolled in Medicare?

Yes. Elena Nikonova is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elena Nikonova was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.