OKSANA BOLDYREV
NPI 1063032522
Nurse Practitioner - Family in Hauppauge, NY

Active since April 24, 2020PECOS EnrolledAccepts Medicare Assignment
282 MOUNT PLEASANT RD, HAUPPAUGE, NY 11788(347) 614-7568 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Oksana Boldyrev NPPES

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

OKSANA BOLDYREV (NPI 1063032522) is an individual family provider in Hauppauge, New York, licensed in New York (345762) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with St Catherine Of Siena Hospital Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1063032522
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameOKSANA BOLDYREV
Location Address282 MOUNT PLEASANT RDHauppauge, NY 11788-2743
Mailing Address282 Mount Pleasant RdHauppauge, NY 11788-2743 · (347) 614-7568
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateApril 24, 2020
Last NPPES UpdateNovember 26, 2024
NPPES CertifiedNovember 26, 2024
✔ NPI 1063032522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 345762
282 MOUNT PLEASANT RD, Hauppauge, NY 11788

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Oksana Boldyrev is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769803980
PECOS Enrollment IDI20200526002207
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Oksana Boldyrev reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
732 SMITHTOWN BYP, SUITE 200
Smithtown, NY 11787
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Ap New York Comprehensive Medical Care PC
  • 19 clinicians in this Medicare group
Pediatrics
523 OCEAN VIEW AVE
Brooklyn, NY 11235
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Catherine Of Siena Hospital Medical Center

Acute Care Hospitals · Smithtown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330401
Location50 Route 25ASmithtown, NY 11787 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11788 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 Oksana Boldyrev's NPI number?

The NPI number for Oksana Boldyrev is 1063032522. It was assigned to this individual provider in the NPPES registry on April 24, 2020.

Where is Oksana Boldyrev located?

Oksana Boldyrev practices at 282 Mount Pleasant Rd, Hauppauge, NY 11788. The listed phone number is (347) 614-7568.

What is Oksana Boldyrev's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Oksana Boldyrev enrolled in Medicare?

Yes. Oksana Boldyrev is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Oksana Boldyrev's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Oksana Boldyrev reassigns Medicare benefits to 2 organizations: A.P. New York Comprehensive Medical Care PC (Smithtown, NY) and Anatoly Belilovsky MD PLLC (Brooklyn, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Oksana Boldyrev's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Oksana Boldyrev accept?

Health plans from Oscar Health list Oksana Boldyrev 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.

Is Oksana Boldyrev affiliated with any hospitals?

According to CMS data, Oksana Boldyrev is affiliated with St Catherine Of Siena Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Oksana Boldyrev was last updated on November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.