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NADEZHDA PROTASOVITSKAYA NP
NPI 1316681802
Nurse Practitioner in Marina Del Rey, CA

Active since April 21, 2022PECOS Enrolled
4640 ADMIRALTY WAY STE 500, MARINA DEL REY, CA 90292(888) 880-3451 Get Directions Write a Review

NPPES record last updated: April 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nadezhda Protasovitskaya Np NPPES

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

NADEZHDA PROTASOVITSKAYA NP (NPI 1316681802) is an individual nurse practitioner in Marina Del Rey, California, licensed in California (95019530) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (2021).

NPPES Registry Identity

NPI1316681802
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameNADEZHDA PROTASOVITSKAYACredential: NP
Location Address4640 ADMIRALTY WAY STE 500Marina Del Rey, CA 90292-6636
Mailing Address3958 Allegro CtAntelope, CA 95843-4865
Phone(888) 880-3451
Sole ProprietorNo
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 2021
Enumeration DateApril 21, 2022
NPPES CertifiedApril 21, 2022
✔ NPI 1316681802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95019530
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4640 ADMIRALTY WAY STE 500, Marina Del Rey, CA 90292
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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 (PECOS)

Nadezhda Protasovitskaya Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214308956
PECOS Enrollment IDI20230117002159
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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Restorigin, per square centimeter Q4191
Restorigin is a medical procedure that helps in the regeneration of skin tissue. It's typically used for wound healing and involves the application of skin cells to the affected area. The service is charged per square centimeter, relating to the size of the treatment area.
2,424 services12 patients
Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less 15271
This procedure involves applying a skin substitute graft to a wound on the trunk, arms, or legs. The graft, a lab-grown skin, is used to cover a wound area of 25.0 sq cm or less, within a total wound area of 100.0 sq cm or less. It aids in healing and regeneration.
291 services25 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
266 services51 patients
Removal of skin and tissue, each additional 20.0 sq cm or less 11045
This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.
251 services25 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
237 services45 patients
Application of skin substitute graft to wound of trunk, arms, or legs, each additional 25.0 sq cm of wound 100.0 sq cm or less 15272
This procedure involves applying a skin substitute graft to a wound on your trunk, arms, or legs. The graft, which is a type of artificial skin, helps promote healing by covering the wound. This description refers to additional grafts for wounds up to 100 sq cm.
149 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90292 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 4

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

MS. BARBARA MESCHER MFT, ATR, BC
Marriage & Family Therapist
4640 ADMIRALTY WAY STE 500
MARINA DEL REY, CA 90292
Los Angeles County (310) 592-9584
WOUND PROS DOCTORS
General Practice
4640 ADMIRALTY WAY STE 500
MARINA DEL REY, CA 90292
Los Angeles County (818) 836-2475
BRENDA IRENE LAPP
Nurse Practitioner (Family)
4640 ADMIRALTY WAY STE 500
MARINA DEL REY, CA 90292
Los Angeles County (888) 880-3451
KATRINA JOYCE PACHECO ANG FNP-C
Nurse Practitioner (Family)
4640 ADMIRALTY WAY STE 500
MARINA DEL REY, CA 90292
Los Angeles County (888) 880-3451

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 Nadezhda Protasovitskaya's NPI number?

The NPI number for Nadezhda Protasovitskaya is 1316681802. It was assigned to this individual provider in the NPPES registry on April 21, 2022.

Where is Nadezhda Protasovitskaya located?

Nadezhda Protasovitskaya practices at 4640 Admiralty Way Ste 500, Marina Del Rey, CA 90292. The listed phone number is (888) 880-3451.

What is Nadezhda Protasovitskaya's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nadezhda Protasovitskaya enrolled in Medicare?

Yes. Nadezhda Protasovitskaya is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nadezhda Protasovitskaya was last updated on April 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.