TETYANA MCILVAINE DO
NPI 1033645684
Internal Medicine - Geriatric Medicine in Silverdale, WA

Q: What is Tetyana Mcilvaine's NPI number?

The NPI number for Tetyana Mcilvaine is 1033645684. It was assigned to this individual provider in the NPPES registry on May 2, 2017. The provider is also known as Tetyana Tsebro.

Q: What is Tetyana Mcilvaine's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Q: When was this NPI record last updated?

The NPPES record for Tetyana Mcilvaine was last updated on July 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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 May 02, 2017PECOS Enrolled

9177 RIDGETOP BLVD NW, SILVERDALE, WA 98383(360) 307-6961 Get Directions Write a Review

NPPES record last updated: July 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Tetyana Mcilvaine Do NPPES

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

TETYANA MCILVAINE DO (NPI 1033645684) is an individual geriatric medicine provider in Silverdale, Washington, licensed in Hawaii (DOS1935) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033645684

Entity TypeIndividualFemale

Primary Taxonomy207RG0300X

Provider Legal NameTETYANA MCILVAINECredential: DO

Location Address9177 RIDGETOP BLVD NWSilverdale, WA 98383-8519

Mailing Address9177 Ridgetop Blvd NwSilverdale, WA 98383-8519 · (360) 307-6961

Phone(360) 307-6961

Sole ProprietorNo

Enumeration DateMay 2, 2017

Last NPPES UpdateJuly 9, 2021

NPPES CertifiedJuly 9, 2021

✔ NPI 1033645684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

License✔ Licensed in HI · DOS1935

Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

9177 RIDGETOP BLVD NW, Silverdale, WA 98383

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Other Names 1

Former Name (1)Tetyana Tsebro

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tetyana Mcilvaine Do 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 98383 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

$172.80 typical visit price

range $57.27 – $172.80

Typical copayment $43.20 (range $14.31 – $43.20)

Most-billed visit code 99205

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

Other Providers at the Same Location NPPES 7

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

DR. JOSEPH G SMITH DNP, FNP-BC

Nurse Practitioner (Family)