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RENAT KHASANOV MSN, PMHNP-BC, RN
NPI 1174251318
Nurse Practitioner - Psychiatric/Mental Health in Glen Oaks, NY

Active since August 14, 2022PECOS Enrolled
75-59 263RD STREET, GLEN OAKS, NY 11004(718) 470-5750 Get Directions Write a Review

NPPES record last updated: September 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 23, 2022, Aug 14, 2022 (2 updates tracked since 2022).

About Renat Khasanov Msn, Pmhnp-bc, Rn NPPES

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

RENAT KHASANOV MSN, PMHNP-BC, RN (NPI 1174251318) is an individual psychiatric/mental health provider in Glen Oaks, New York, licensed in New York (404349) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174251318
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameRENAT KHASANOVCredential: MSN, PMHNP-BC, RN
Location Address75-59 263RD STREETGlen Oaks, NY 11004-1100
Mailing Address2266 Bath Ave # 3010Brooklyn, NY 11214-5714 · (917) 969-6012
Phone(718) 470-5750
Sole ProprietorYes
Enumeration DateAugust 14, 2022
Last NPPES UpdateSeptember 23, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2022
✔ NPI 1174251318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 404349
75-59 263RD STREET, Glen Oaks, NY 11004
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Renat Khasanov Msn, Pmhnp-bc, Rn 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 11004 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

JENNIFER RAHMAN M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
75-59 263RD STREET, ROOM K219
GLEN OAKS, NY 11004
Queens County (718) 470-4032
SNEHA RAJAN BRAY MD
Student in an Organized Health Care Education/Training Program
75-59 263RD STREET
GLEN OAKS, NY 11004
Queens County (718) 470-8005
MITA KALE MD
Student in an Organized Health Care Education/Training Program
75-59 263RD STREET
GLEN OAKS, NY 11004
Queens County (718) 470-8005
EMILY KLASS PHD
Psychologist (Clinical Child & Adolescent)
75-59 263RD STREET, THE ZUCKER HILLSIDE HOSPITAL
GLEN OAKS, NY 11004
Queens County (718) 470-4707
MITCHELL SHAPIRO PSYD
Psychologist
75-59 263RD STREET, ZUCKER HILLSIDE HOSPITAL & DIV. OF PSYCHOLOGY
GLEN OAKS, NY 11004
Queens County (718) 470-8390
JOHN KANE
Psychiatry & Neurology (Psychiatry)
75-59 263RD STREET, THE ZUCKER HILLSIDE HOSPITAL -DEPT OF PSYCHIATRY
GLEN OAKS, NY 11004
Queens County (718) 470-8141
JENNIFER LYNN ORSOMARSO LCSW
Social Worker (Clinical)
75-59 263RD STREET, ZUCKER HILLSIDE HOSPITAL
GLEN OAKS, NY 11004
Queens County (718) 470-8540
MR. KENNETH F. SOKOL R.PH.
Pharmacist
75-59 263RD STREET, ATTN: PHARMACY DEPT.
GLEN OAKS, NY 11004
Queens County (718) 470-8321

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 Renat Khasanov's NPI number?

The NPI number for Renat Khasanov is 1174251318. It was assigned to this individual provider in the NPPES registry on August 14, 2022.

Where is Renat Khasanov located?

Renat Khasanov practices at 75-59 263rd Street, Glen Oaks, NY 11004. The listed phone number is (718) 470-5750.

What is Renat Khasanov's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Renat Khasanov enrolled in Medicare?

Yes. Renat Khasanov is registered in the Medicare PECOS enrollment system.

What insurance does Renat Khasanov accept?

Health plans from Providence Health Plan list Renat Khasanov 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 Renat Khasanov was last updated on September 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.