MR. ANATOLIY MIRKIN FNP-C
NPI 1174136121
Nurse Practitioner - Family in Mineola, NY
About Mr. Anatoliy Mirkin Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. ANATOLIY MIRKIN FNP-C (NPI 1174136121) is an individual family provider in Mineola, New York, licensed in New York (346391) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2020).
NPPES Registry Identity
Specialties & Licenses
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
Mr. Anatoliy Mirkin Fnp-c 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.
Medicare Billing Reassignment
Medicare enrollment records show Anatoliy Mirkin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boynton Beach, FL 33426
- Reassigned Medicare billing, New York enrollment
- 7,712 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.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
MINEOLA, NY 11501
MINEOLA, NY 11501
MINEOLA, NY 11501
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 Anatoliy Mirkin's NPI number?
The NPI number for Anatoliy Mirkin is 1174136121. It was assigned to this individual provider in the NPPES registry on August 28, 2020.
Where is Anatoliy Mirkin located?
Anatoliy Mirkin practices at 259 1st St, Mineola, NY 11501. The listed phone number is (516) 663-0333.
What is Anatoliy Mirkin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Anatoliy Mirkin enrolled in Medicare?
Yes. Anatoliy Mirkin 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 organization bills Medicare for Anatoliy Mirkin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anatoliy Mirkin reassigns Medicare benefits to New York University (Boynton Beach, FL). 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 Anatoliy Mirkin'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 Anatoliy Mirkin was last updated on August 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mr. Anatoliy Mirkin, FNP-C · NPI 1174136121
Family physician in Mineola, New York. Individual provider, active in the CMS NPPES registry since August 28, 2020.
## Identity
- **NPI:** 1174136121 (Entity type: Individual)
- **Enumerated:** August 28, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 346391 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 259 1ST ST, Mineola, NY 11501-3957
- **Phone:** (516) 663-0333
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** New York University (NPI 1285826438, Boynton Beach, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York At Stony Brook, School Of Medicine, class of 2020
## Record status
- **NPPES last updated:** August 28, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1174136121) · Data from the CMS NPPES public registry.