KENVELO2
NPI 1184353310
Nurse Practitioner - Psychiatric/Mental Health in Miami, FL

Active since June 04, 2022
66 W FLAGLER ST STE 900, MIAMI, FL 33130(414) 915-5665 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kenvelo2 NPPES

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

KENVELO2 (NPI 1184353310) is a healthcare organization registered as a psychiatric/mental health in Miami, Florida and active in the NPI registry since June 2022. The organization maintains 4 additional practice locations and lists Eduard Tsyrulnykov, Owner, as its authorized official.

NPPES Registry Identity

NPI1184353310
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameKENVELO2
Location Address66 W FLAGLER ST STE 900Miami, FL 33130-1807
Mailing Address66 W Flagler St Ste 900Miami, FL 33130-1807 · (414) 915-5665
Organization SubpartNo
Authorized OfficialEduard TsyrulnykovOwner · (414) 915-5665
Enumeration DateJune 4, 2022
Last NPPES UpdateAugust 21, 2023
NPPES CertifiedAugust 21, 2023
✔ NPI 1184353310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedClinic/CenterTaxonomy 261Q00000X
66 W FLAGLER ST STE 900, Miami, FL 33130

Secondary Practice Locations 4

Location 13400 McCall Ave Ste 104Selma, CA 93662-2560 · Phone (559) 875-7705
Location 2275 S Madera Ave Ste 404Kerman, CA 93630-1401 · Phone (559) 875-7705
Location 33636 N 1st St Ste 135Fresno, CA 93726-6818 · Phone (559) 436-0482
Location 43636 N 1st St Ste 162Fresno, CA 93726-6869 · Phone (559) 476-2166

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenvelo2 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kenvelo2, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1720213812
11649 N PORT WASHINGTON RD STE 221
Mequon, WI 53092
(262) 999-3495
✔ PECOS✔ Accepts Medicare1,280 mi

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

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 Kenvelo2's NPI number?

The NPI number for Kenvelo2 is 1184353310. It was assigned to this organization in the NPPES registry on June 4, 2022.

Where is Kenvelo2 located?

Kenvelo2 is located at 66 W Flagler St Ste 900, Miami, FL 33130. The listed phone number is (414) 915-5665.

What is Kenvelo2's specialty?

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

Is Kenvelo2 enrolled in Medicare?

Yes. Kenvelo2 is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kenvelo2?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Kenvelo2. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kenvelo2 was last updated on August 21, 2023. 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.