VITALIY PAVLOVICH KOVDIY
NPI 1013879162
Nurse Practitioner in Burnsville, MN

Q: What is Vitaliy Kovdiy's NPI number?

The NPI number for Vitaliy Kovdiy is 1013879162. It was assigned to this individual provider in the NPPES registry on November 26, 2025.

Q: What is Vitaliy Kovdiy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Vitaliy Kovdiy was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since November 26, 2025PECOS Enrolled

13201 E MANOR BLVD, BURNSVILLE, MN 55337(952) 649-2735 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 3, 2026, Nov 26, 2025 (2 updates tracked since 2025).

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About Vitaliy Pavlovich Kovdiy NPPES

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

VITALIY PAVLOVICH KOVDIY (NPI 1013879162) is an individual nurse practitioner in Burnsville, Minnesota, licensed in Washington (ARNP.AP.70132652-NP) and active in the NPI registry since November 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013879162

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameVITALIY PAVLOVICH KOVDIY

Location Address13201 E MANOR BLVDBurnsville, MN 55337-2093

Mailing Address13201 E Manor BlvdBurnsville, MN 55337-2093 · (952) 649-2735

Phone(952) 649-2735

Sole ProprietorNo

Enumeration DateNovember 26, 2025

Last NPPES UpdateJune 3, 20262 updates tracked since enumeration

NPPES CertifiedJune 3, 2026

✔ NPI 1013879162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WA · ARNP.AP.70132652-NP

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 13629 (MN)

13201 E MANOR BLVD, Burnsville, MN 55337

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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)

Vitaliy Pavlovich Kovdiy 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55337 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Vitaliy Kovdiy's NPI number?

The NPI number for Vitaliy Kovdiy is 1013879162. It was assigned to this individual provider in the NPPES registry on November 26, 2025.

Where is Vitaliy Kovdiy located?

Vitaliy Kovdiy practices at 13201 E Manor Blvd, Burnsville, MN 55337. The listed phone number is (952) 649-2735.

What is Vitaliy Kovdiy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Vitaliy Kovdiy enrolled in Medicare?

Yes. Vitaliy Kovdiy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vitaliy Kovdiy was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.