EKATERINA BULAEVSKAYA NNP
NPI 1073712386
Nurse Practitioner - Neonatal in Portland, OR

Active since July 16, 2007PECOS Enrolled
2801 N GANTENBEIN AVE, NICU, PORTLAND, OR 97227(503) 413-2304(503) 413-2145 Get Directions Write a Review

NPPES record last updated: July 16, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ekaterina Bulaevskaya Nnp NPPES

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

EKATERINA BULAEVSKAYA NNP (NPI 1073712386) is an individual neonatal provider in Portland, Oregon and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073712386
Entity TypeIndividualFemale
Primary Taxonomy363LN0000X
Provider Legal NameEKATERINA BULAEVSKAYACredential: NNP
Location Address2801 N GANTENBEIN AVE, NICUPortland, OR 97227-1623
Mailing Address2801 N Gantenbein Ave, NicuPortland, OR 97227-1623 · (503) 413-2304 · Fax (503) 413-2145
Fax(503) 413-2145
Sole ProprietorNo
Enumeration DateJuly 16, 2007
✔ NPI 1073712386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
2801 N GANTENBEIN AVE, Portland, OR 97227

Other Names 1

Other Name (5)Katya Bulaevskaya Nnp

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ekaterina Bulaevskaya Nnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Ekaterina Bulaevskaya reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Acute Care Hospital
2801 N GANTENBEIN AVE
Portland, OR 97227
  • Reassigned Medicare billing, Oregon enrollment
  • 719 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97227 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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 20

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

Genetic Counselor, MS
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Pediatrics (Pediatric Critical Care Medicine)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Pediatrics (Pediatric Hematology-Oncology)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Radiology (Diagnostic Radiology)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Nurse Practitioner (Neonatal)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Psychologist
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Pediatrics (Pediatric Emergency Medicine)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Pediatrics (Pediatric Critical Care Medicine)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227

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 Ekaterina Bulaevskaya's NPI number?

The NPI number for Ekaterina Bulaevskaya is 1073712386. It was assigned to this individual provider in the NPPES registry on July 16, 2007. The provider is also known as Katya Bulaevskaya Nnp.

Where is Ekaterina Bulaevskaya located?

Ekaterina Bulaevskaya practices at 2801 N Gantenbein Ave Nicu, Portland, OR 97227. The listed phone number is (503) 413-2304.

What is Ekaterina Bulaevskaya's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Is Ekaterina Bulaevskaya enrolled in Medicare?

Yes. Ekaterina Bulaevskaya is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ekaterina Bulaevskaya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ekaterina Bulaevskaya reassigns Medicare benefits to Legacy Emanuel Hospital & Health Center (Portland, OR). The 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 Ekaterina Bulaevskaya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ekaterina Bulaevskaya was last updated on July 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.