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YURIY ANDREY OLSHANNIKOV DNP, BSN, APRN, RN
NPI 1275391922
Nurse Practitioner - Acute Care in Park Ridge, IL

Active since March 07, 2024PECOS Enrolled
1775 W DEMPSTER ST, PARK RIDGE, IL 60068(847) 723-2210(847) 723-4412 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 3, 2025, Mar 7, 2024 (2 updates tracked since 2024).

About Yuriy Andrey Olshannikov Dnp, Bsn, Aprn, Rn NPPES

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

YURIY ANDREY OLSHANNIKOV DNP, BSN, APRN, RN (NPI 1275391922) is an individual acute care provider in Park Ridge, Illinois, licensed in Illinois (209029060) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Elmhurst.

NPPES Registry Identity

NPI1275391922
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameYURIY ANDREY OLSHANNIKOVCredential: DNP, BSN, APRN, RN
Location Address1775 W DEMPSTER STPark Ridge, IL 60068-1143
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900
Phone(847) 723-2210
Fax(847) 723-4412
Sole ProprietorNo
Enumeration DateMarch 7, 2024
Last NPPES UpdateApril 3, 20252 updates tracked since enumeration
NPPES CertifiedApril 3, 2025
✔ NPI 1275391922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in IL · 209029060
Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License 041428458 (IL)
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 209029060 (IL)
1775 W DEMPSTER ST, Park Ridge, IL 60068
Open in Google Maps ↗

Secondary Practice Location 1

Location 1395 W Lake StElmhurst, IL 60126-1508 · Phone (630) 387-6722

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yuriy Andrey Olshannikov Dnp, Bsn, Aprn, 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.

Medicare Billing Reassignment

Medicare enrollment records show Yuriy Olshannikov reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lutheran General Hospital
Same address
Cardiovascular Disease
1775 DEMPSTER ST
Park Ridge, IL 60068
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Advocate Health And Hospitals Corporation
  • 4,870 clinicians in this Medicare group
NPI 1801809306 (847) 723-2210

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 60068 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

ADVOCATE LUTHERAN GENERAL HOSPITAL
General Acute Care Hospital (Children)
1775 W DEMPSTER ST, 8 SOUTH
PARK RIDGE, IL 60068
Cook County (847) 723-8077
LINDA CASTANEDA DO
Anesthesiology
1775 W DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 723-2210
DOUGLAS ADAM MILLS D.O.
Internal Medicine
1775 W DEMPSTER ST, 8 SOUTH
PARK RIDGE, IL 60068
Cook County (847) 723-5871
IQBAL HAQ MD
Radiology (Diagnostic Radiology)
1775 W DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 803-1000
CAROLINE TER RAHE MD
Anesthesiology
1775 W DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 723-2210
TODD CLARK MEDICAL DOCTOR
Emergency Medicine
1775 W DEMPSTER ST, 1 WEST
PARK RIDGE, IL 60068
Cook County (847) 723-5150
DR. JOANNA DARIA PAKULA M.D.
Internal Medicine
1775 W DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 723-1680
CHRISTINE D PREKEZES MD
Anesthesiology
1775 W DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 723-2210

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 Yuriy Olshannikov's NPI number?

The NPI number for Yuriy Olshannikov is 1275391922. It was assigned to this individual provider in the NPPES registry on March 7, 2024.

Where is Yuriy Olshannikov located?

Yuriy Olshannikov practices at 1775 W Dempster St, Park Ridge, IL 60068. The listed phone number is (847) 723-2210.

What is Yuriy Olshannikov's specialty?

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

Is Yuriy Olshannikov enrolled in Medicare?

Yes. Yuriy Olshannikov is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Yuriy Olshannikov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yuriy Olshannikov reassigns Medicare benefits to Lutheran General Hospital (Park Ridge, IL). The 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 Yuriy Olshannikov'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 Yuriy Olshannikov was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.