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MR. RODSHEL NISANOV FNP-BC
NPI 1356005425
Nurse Practitioner - Family in Flushing, NY

Active since October 26, 2021PECOS EnrolledAccepts Medicare Assignment
14146 72ND DR, FLUSHING, NY 11367(646) 525-5965 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Rodshel Nisanov Fnp-bc NPPES

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

MR. RODSHEL NISANOV FNP-BC (NPI 1356005425) is an individual family provider in Flushing, New York, licensed in New York (347908) and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1356005425
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. RODSHEL NISANOVCredential: FNP-BC
Location Address14146 72ND DRFlushing, NY 11367-2313
Mailing Address14146 72nd DrFlushing, NY 11367-2313 · (646) 525-5965
Phone(646) 525-5965
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 26, 2021
Last NPPES UpdateJune 9, 2026
NPPES CertifiedJune 9, 2026
✔ NPI 1356005425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 347908
Also ListedRegistered NurseTaxonomy 163W00000X · License 747551 (NY)
Also ListedDermatologyTaxonomy 207N00000X · License F347908-01 (NY)
14146 72ND DR, Flushing, NY 11367
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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 and accepts Medicare assignment

Mr. Rodshel Nisanov Fnp-bc 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 ID1951794304
PECOS Enrollment IDI20220207001228
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 Reassignments

3

Medicare enrollment records show Rodshel Nisanov reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vital Care Np In Family Health PLLC
0.3 mi
Family
14736 76TH AVE
Flushing, NY 11367
  • Reassigned Medicare billing, New York enrollment
NPI 1194617787 (646) 525-5965
Hollis Ak LLC
2.9 mi
Multi-Specialty
19002 JAMAICA AVE
Jamaica, NY 11423
  • Reassigned Medicare billing, New York enrollment
  • 18 clinicians in this Medicare group
NPI 1295454650 (718) 577-2211
Refuah Health Center, Inc.
30 mi
Federally Qualified Health Center (FQHC)
5 TWIN AVENUE
Spring Valley, NY 10977
  • Reassigned Medicare billing, New York enrollment
  • 206 clinicians in this Medicare group
NPI 1952678245 (845) 354-9300

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 11367 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.

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 Rodshel Nisanov's NPI number?

The NPI number for Rodshel Nisanov is 1356005425. It was assigned to this individual provider in the NPPES registry on October 26, 2021.

Where is Rodshel Nisanov located?

Rodshel Nisanov practices at 14146 72nd Dr, Flushing, NY 11367. The listed phone number is (646) 525-5965.

What is Rodshel Nisanov's specialty?

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

Is Rodshel Nisanov enrolled in Medicare?

Yes. Rodshel Nisanov 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.

Which organizations bill Medicare for Rodshel Nisanov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rodshel Nisanov reassigns Medicare benefits to 3 organizations: Vital Care Np In Family Health PLLC (Flushing, NY), Hollis Ak LLC (Jamaica, NY) and Refuah Health Center, Inc. (Spring Valley, NY). Each 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 Rodshel Nisanov'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 Rodshel Nisanov was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.