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YURI MIKHAIL SHIMONOV NP
NPI 1346911732
Nurse Practitioner - Adult Health in Rego Park, NY

Active since September 24, 2021PECOS Enrolled
9831 65TH RD APT 3E, REGO PARK, NY 11374(347) 653-4872 Get Directions Write a Review

NPPES record last updated: May 17, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 17, 2023, Sep 24, 2021 (2 updates tracked since 2021).

About Yuri Mikhail Shimonov Np NPPES

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

YURI MIKHAIL SHIMONOV NP (NPI 1346911732) is an individual adult health provider in Rego Park, New York, licensed in New York (310335) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1346911732
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameYURI MIKHAIL SHIMONOVCredential: NP
Location Address9831 65TH RD APT 3ERego Park, NY 11374-3515
Mailing Address9831 65th Rd Apt 3eRego Park, NY 11374-3515 · (347) 653-4872
Phone(347) 653-4872
Sole ProprietorNo
Enumeration DateSeptember 24, 2021
Last NPPES UpdateMay 17, 20232 updates tracked since enumeration
NPPES CertifiedMay 17, 2023
✔ NPI 1346911732 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 NY · 310335
9831 65TH RD APT 3E, Rego Park, NY 11374
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Secondary Practice Location 1

Location 13709 Flatlands AveBrooklyn, NY 11234-3507 · Phone (718) 444-7766

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yuri Mikhail Shimonov Np 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 Yuri Shimonov reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ys Np In Adult Health And Rs Np In Family Health PLLC
2.2 mi
Internal Medicine
6519 BORDEN AVE BSMT
Maspeth, NY 11378
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
NPI 1114766060 (718) 255-3346

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 11374 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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

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

OLGA SHIMONOVA
Nurse Practitioner (Family)
9831 65TH RD APT 3E
REGO PARK, NY 11374
Queens County (347) 653-9221

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 Yuri Shimonov's NPI number?

The NPI number for Yuri Shimonov is 1346911732. It was assigned to this individual provider in the NPPES registry on September 24, 2021.

Where is Yuri Shimonov located?

Yuri Shimonov practices at 9831 65th Rd Apt 3E, Rego Park, NY 11374. The listed phone number is (347) 653-4872.

What is Yuri Shimonov's specialty?

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

Is Yuri Shimonov enrolled in Medicare?

Yes. Yuri Shimonov is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Yuri Shimonov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yuri Shimonov reassigns Medicare benefits to Ys Np In Adult Health And Rs Np In Family Health PLLC (Maspeth, NY). 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 Yuri Shimonov'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 Yuri Shimonov was last updated on May 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.