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MARIYA YAKUBOV NP
NPI 1255482147
Nurse Practitioner - Family in West Haven, CT

Active since January 16, 2007PECOS Enrolled
94.24/100
CMS Quality Rating
764 CAMPBELL AVE STE F, WEST HAVEN, CT 06516(203) 443-9500(203) 902-0509 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 6, 2025, Apr 11, 2020, Jul 24, 2019 (3 updates tracked since 2019).

About Mariya Yakubov Np NPPES

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

MARIYA YAKUBOV NP (NPI 1255482147) is an individual family provider in West Haven, Connecticut, licensed in Connecticut (8776) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255482147
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARIYA YAKUBOVCredential: NP
Location Address764 CAMPBELL AVE STE FWest Haven, CT 06516-3786
Mailing Address24 Hospital AveDanbury, CT 06810-6099 · (203) 739-6586 · Fax (203) 739-1614
Phone(203) 443-9500
Fax(203) 902-0509
Sole ProprietorYes
Enumeration DateJanuary 16, 2007
Last NPPES UpdateNovember 6, 20253 updates tracked since enumeration
NPPES CertifiedNovember 6, 2025
✔ NPI 1255482147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CT · 8776
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 303909 (NY), 8776 (CT)
764 CAMPBELL AVE STE F, West Haven, CT 06516
Open in Google Maps ↗

Secondary Practice Locations 2

Location 124 Hospital AveDanbury, CT 06810-6099 · Phone (203) 739-6586 · Fax (203) 739-1614
Location 21000 10th Ave, 2B-07New York, NY 10019-1147 · Phone (212) 523-7475 · Fax (212) 523-8011

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mariya Yakubov Np 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 Reassignments

2

Medicare enrollment records show Mariya Yakubov reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Livwell Pain Management LLC
Same address
Family
764 CAMPBELL AVE STE F
West Haven, CT 06516
  • Reassigned Medicare billing, Connecticut enrollment
  • 4 clinicians in this Medicare group
NPI 1942866793 (203) 443-9500
Montefiore Medical Center
56 mi
Anesthesiology
111 E 210TH ST
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1063525152 (914) 378-6021

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 06516 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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.

94.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.26
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

DR. KRIPA PLAPETTA DAMODHARAN DNP-FNP
Nurse Practitioner (Family)
764 CAMPBELL AVE STE F
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 443-9500
UDUAK EKPO
Nurse Practitioner (Family)
764 CAMPBELL AVE STE F
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 443-9500
JILLENE BONET
Nurse Practitioner (Family)
764 CAMPBELL AVE STE F
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 443-9500
LIVWELL PAIN MANAGEMENT LLC
Nurse Practitioner (Family)
764 CAMPBELL AVE STE F
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 443-9500

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 Mariya Yakubov's NPI number?

The NPI number for Mariya Yakubov is 1255482147. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Mariya Yakubov located?

Mariya Yakubov practices at 764 Campbell Ave Ste F, West Haven, CT 06516. The listed phone number is (203) 443-9500.

What is Mariya Yakubov's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mariya Yakubov enrolled in Medicare?

Yes. Mariya Yakubov is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mariya Yakubov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mariya Yakubov reassigns Medicare benefits to 2 organizations: Livwell Pain Management LLC (West Haven, CT) and Montefiore Medical Center (Bronx, NY). Each 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 Mariya Yakubov'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 Mariya Yakubov was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.