1. Home
  2. Directory
  3. New York
  4. Staten Island
  5. Nurse Practitioner
  6. NPI Profile

NADYA BOLGOVA FNP-BC
NPI 1255916797
Nurse Practitioner - Family in Staten Island, NY

Active since March 16, 2021PECOS Enrolled
15 STACK DR, STATEN ISLAND, NY 10312(646) 577-4709 Get Directions Write a Review

NPPES record last updated: March 16, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Nadya Bolgova Fnp-bc NPPES

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

NADYA BOLGOVA FNP-BC (NPI 1255916797) is an individual family provider in Staten Island, New York, licensed in New York (347327) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with South Brooklyn Health, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1255916797
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNADYA BOLGOVACredential: FNP-BC
Location Address15 STACK DRStaten Island, NY 10312-1632
Mailing Address2885 W 12th St Apt 8jBrooklyn, NY 11224-3028 · (646) 577-4709
Phone(646) 577-4709
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 16, 2021
NPPES CertifiedMarch 16, 2021
✔ NPI 1255916797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 347327
15 STACK DR, Staten Island, NY 10312
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nadya Bolgova Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507365517
PECOS Enrollment IDI20250818001000
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.

South Brooklyn Health

Acute Care Hospitals · Brooklyn, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330196
Location2601 Ocean ParkwayBrooklyn, NY 11235 · Kings County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10312 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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 Nadya Bolgova's NPI number?

The NPI number for Nadya Bolgova is 1255916797. It was assigned to this individual provider in the NPPES registry on March 16, 2021.

Where is Nadya Bolgova located?

Nadya Bolgova practices at 15 Stack Dr, Staten Island, NY 10312. The listed phone number is (646) 577-4709.

What is Nadya Bolgova's specialty?

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

Is Nadya Bolgova enrolled in Medicare?

Yes. Nadya Bolgova is registered in the Medicare PECOS enrollment system.

Is Nadya Bolgova affiliated with any hospitals?

According to CMS data, Nadya Bolgova is affiliated with South Brooklyn Health.

When was this NPI record last updated?

The NPPES record for Nadya Bolgova was last updated on March 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.