KHRYSTYNA ANTONOVA NP
NPI 1033877378
Nurse Practitioner in Plymouth, MN

Q: What is Khrystyna Antonova's NPI number?

The NPI number for Khrystyna Antonova is 1033877378. It was assigned to this individual provider in the NPPES registry on December 3, 2021.

Q: What is Khrystyna Antonova's specialty?

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

Active since December 03, 2021

15552 57TH PL N, PLYMOUTH, MN 55446(612) 481-1842 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Khrystyna Antonova Np NPPES

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

KHRYSTYNA ANTONOVA NP (NPI 1033877378) is an individual nurse practitioner in Plymouth, Minnesota, licensed in Minnesota (7317) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1033877378

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKHRYSTYNA ANTONOVACredential: NP

Location Address15552 57TH PL NPlymouth, MN 55446-3737

Mailing Address15552 57th Pl NPlymouth, MN 55446-3737 · (612) 481-1842

Phone(612) 481-1842

Sole ProprietorYes

Enumeration DateDecember 3, 2021

NPPES CertifiedDecember 3, 2021

✔ NPI 1033877378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MN · 7317

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.

15552 57TH PL N, Plymouth, MN 55446

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

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 Khrystyna Antonova's NPI number?

The NPI number for Khrystyna Antonova is 1033877378. It was assigned to this individual provider in the NPPES registry on December 3, 2021.

Where is Khrystyna Antonova located?

Khrystyna Antonova practices at 15552 57th Pl N, Plymouth, MN 55446. The listed phone number is (612) 481-1842.

What is Khrystyna Antonova's specialty?

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

What insurance does Khrystyna Antonova accept?

Health plans from HealthPartners and Medica list Khrystyna Antonova as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Khrystyna Antonova was last updated on December 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.