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MARIYA TKACHENKO CNP
NPI 1295565679
Nurse Practitioner - Family in Shakopee, MN

Active since August 01, 2024PECOS EnrolledAccepts Medicare Assignment
1415 SAINT FRANCIS AVE, SHAKOPEE, MN 55379(952) 993-7750 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 9, 2024, Aug 1, 2024 (2 updates tracked since 2024).

About Mariya Tkachenko Cnp NPPES

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

MARIYA TKACHENKO CNP (NPI 1295565679) is an individual family provider in Shakopee, Minnesota, licensed in Minnesota (11902) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1295565679
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARIYA TKACHENKOCredential: CNP
Location Address1415 SAINT FRANCIS AVEShakopee, MN 55379-3374
Mailing Address8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516
Phone(952) 993-7750
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 1, 2024
Last NPPES UpdateSeptember 9, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
✔ NPI 1295565679 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 MN · 11902
Also ListedNurse PractitionerTaxonomy 363L00000X · License 11902 (MN)
1415 SAINT FRANCIS AVE, Shakopee, MN 55379
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

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

Mariya Tkachenko Cnp 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 ID9931640836
PECOS Enrollment IDI20240918004521
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 2

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

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240053
Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County
Emergency services Birthing friendly

St Francis Regional Medical Center

Acute Care Hospitals · Shakopee, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number240104
Location1455 St Francis AvenueShakopee, MN 55379 · Scott County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55379 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

KRISTIN A WITTE D.O.
Family Medicine
1415 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Scott County (952) 993-7750
ANN M. O'DONNELL M.D.
Obstetrics & Gynecology
1415 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Scott County (952) 993-7750
MARK WESTHOLDER
Family Medicine
1415 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Scott County (952) 993-7800
DR. TREVOR L BUSCH MD
Family Medicine
1415 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Scott County (952) 993-7750
CRYSTAL J KNUTSON M.D.
Pediatrics
1415 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Scott County (952) 993-7750
LISA KROHN PHARMD
Pharmacist
1415 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Scott County (952) 993-4342
SUSAN TORKELSON
Obstetrics & Gynecology
1415 SAINT FRANCIS AVE, SUITE 200
SHAKOPEE, MN 55379
Scott County (952) 993-7750
JENNIFER E GRUNDHOFER PA-C
Physician Assistant
1415 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Scott County (952) 993-7750

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 Tkachenko's NPI number?

The NPI number for Mariya Tkachenko is 1295565679. It was assigned to this individual provider in the NPPES registry on August 1, 2024.

Where is Mariya Tkachenko located?

Mariya Tkachenko practices at 1415 Saint Francis Ave, Shakopee, MN 55379. The listed phone number is (952) 993-7750.

What is Mariya Tkachenko's specialty?

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

Is Mariya Tkachenko enrolled in Medicare?

Yes. Mariya Tkachenko is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mariya Tkachenko accept?

Health plans from HealthPartners and Medica list Mariya Tkachenko as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mariya Tkachenko affiliated with any hospitals?

According to CMS data, Mariya Tkachenko is affiliated with Park Nicollet Methodist Hospital and St Francis Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Mariya Tkachenko was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.