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MRS. KSENIA SMIRNOV CRNP
NPI 1346680519
Nurse Practitioner - Adult Health in Philadelphia, PA

Active since July 02, 2013PECOS Enrolled
9880 BUSTLETON AVE, SUITE 208, PHILADELPHIA, PA 19115(215) 677-0667(215) 677-1063 Get Directions Write a Review

NPPES record last updated: July 2, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Ksenia Smirnov Crnp NPPES

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

MRS. KSENIA SMIRNOV CRNP (NPI 1346680519) is an individual adult health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP012947) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346680519
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. KSENIA SMIRNOVCredential: CRNP
Location Address9880 BUSTLETON AVE, SUITE 208Philadelphia, PA 19115-2185
Mailing Address700 Mason DrWarminster, PA 18974-2706 · (267) 243-0671
Phone(215) 677-0667
Fax(215) 677-1063
Sole ProprietorNo
Enumeration DateJuly 2, 2013
✔ NPI 1346680519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in PA · SP012947
9880 BUSTLETON AVE, Philadelphia, PA 19115
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Ksenia Smirnov Crnp 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 Ksenia Smirnov reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Avellina Inc.
1.6 mi
Internal Medicine
2375 WOODWARD ST
Philadelphia, PA 19115
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 10 clinicians in this Medicare group
NPI 1285805507 (215) 676-9223

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 19115 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 17

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

JANNA PRATER M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
9880 BUSTLETON AVE, SUITE 220
PHILADELPHIA, PA 19115
Philadelphia County (215) 827-1500
LISA K. JABLON M.D.
Surgery (Surgical Critical Care)
9880 BUSTLETON AVE, SUITE 205
PHILADELPHIA, PA 19115
Philadelphia County (215) 676-2222
DR. IRENE J. TAN M.D.
Internal Medicine (Rheumatology)
9880 BUSTLETON AVE
PHILADELPHIA, PA 19115
Philadelphia County (215) 827-1500
CRAIG OLINER MD
Internal Medicine (Cardiovascular Disease)
9880 BUSTLETON AVE, STE 220
PHILADELPHIA, PA 19115
Philadelphia County (215) 827-1500
DR. ROBERT A LEVINE DDS, PC
Dentist (Periodontics)
9880 BUSTLETON AVE, SUITE 211-212
PHILADELPHIA, PA 19115
Philadelphia County (215) 677-8686
GHM UROLOGY
Urology
9880 BUSTLETON AVE, SUITE 311
PHILADELPHIA, PA 19115
Philadelphia County (215) 677-0667
PENNSYLVANIA CENTER FOR DENTAL IMPLANTS AND PERIODONTICS, LLC
Dentist (Periodontics)
9880 BUSTLETON AVE, SUITE 211-212
PHILADELPHIA, PA 19115
Philadelphia County (215) 677-8686
PENNSYLVANIA CENTER FOR DENTAL IMPLANTS AND PERIODONTICS
Dentist (Periodontics)
9880 BUSTLETON AVE, #211-212
PHILADELPHIA, PA 19115
Philadelphia County (215) 677-8686

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 Ksenia Smirnov's NPI number?

The NPI number for Ksenia Smirnov is 1346680519. It was assigned to this individual provider in the NPPES registry on July 2, 2013.

Where is Ksenia Smirnov located?

Ksenia Smirnov practices at 9880 Bustleton Ave Suite 208, Philadelphia, PA 19115. The listed phone number is (215) 677-0667.

What is Ksenia Smirnov's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Ksenia Smirnov enrolled in Medicare?

Yes. Ksenia Smirnov is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ksenia Smirnov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ksenia Smirnov reassigns Medicare benefits to Avellina Inc. (Philadelphia, PA). 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 Ksenia Smirnov'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 Ksenia Smirnov was last updated on July 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.