VERA J KOMISARJEVSKY ACNP
NPI 1194714568
Nurse Practitioner - Acute Care in Portland, ME

Q: What is Vera Komisarjevsky's NPI number?

The NPI number for Vera Komisarjevsky is 1194714568. It was assigned to this individual provider in the NPPES registry on October 18, 2005.

Q: What is Vera Komisarjevsky's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Active since October 18, 2005PECOS EnrolledAccepts Medicare Assignment

22 BRAMHALL ST, PORTLAND, ME 04102(207) 662-4618 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Vera J Komisarjevsky Acnp NPPES

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

VERA J KOMISARJEVSKY ACNP (NPI 1194714568) is an individual acute care provider in Portland, Maine, licensed in Maine (CNP101040) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1194714568

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameVERA J KOMISARJEVSKYCredential: ACNP

Location Address22 BRAMHALL STPortland, ME 04102-3134

Mailing Address22 Bramhall StPortland, ME 04102-3134 · (207) 662-4618

Phone(207) 662-4618

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateOctober 18, 2005

Last NPPES UpdateAugust 1, 2024

NPPES CertifiedAugust 1, 2024

✔ NPI 1194714568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in ME · CNP101040

22 BRAMHALL ST, Portland, ME 04102

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Vera J Komisarjevsky Acnp 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 ID2769492677

PECOS Enrollment IDI20110614000071

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.

Hospital Affiliations CMS Care Compare

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

Maine Medical Center

Acute Care Hospitals · Portland, ME

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number200009

Location22 Bramhall StPortland, ME 04102 · Cumberland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04102 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

$86.72 typical visit price

range $56.28 – $169.96

Typical copayment $21.68 (range $14.07 – $42.49)

Most-billed visit code 99203

Established Patient

$99.18 typical visit price

range $18.22 – $138.92

Typical copayment $24.79 (range $4.55 – $34.73)

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.

ABBY LYNN LABRECQUE PA-C

Physician Assistant (Medical)