RUSLAN FEDKIV
NPI 1366300485
Nurse Practitioner - Primary Care in Boca Raton, FL
About Ruslan Fedkiv NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RUSLAN FEDKIV (NPI 1366300485) is an individual primary care provider in Boca Raton, Florida, licensed in Florida (11036129) and active in the NPI registry since January 2026. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Martin North Hospital, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
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
Ruslan Fedkiv 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cleveland Clinic Martin North Hospital
Acute Care Hospitals · Stuart, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33496 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ruslan Fedkiv's NPI number?
The NPI number for Ruslan Fedkiv is 1366300485. It was assigned to this individual provider in the NPPES registry on January 15, 2026.
Where is Ruslan Fedkiv located?
Ruslan Fedkiv practices at 18037 Mambo Dr, Boca Raton, FL 33496. The listed phone number is (917) 309-6339.
What is Ruslan Fedkiv's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Ruslan Fedkiv enrolled in Medicare?
Yes. Ruslan Fedkiv 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.
Is Ruslan Fedkiv affiliated with any hospitals?
According to CMS data, Ruslan Fedkiv is affiliated with Cleveland Clinic Martin North Hospital.
When was this NPI record last updated?
The NPPES record for Ruslan Fedkiv was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Ruslan Fedkiv · NPI 1366300485
Primary Care physician in Boca Raton, Florida. Individual provider, active in the CMS NPPES registry since January 15, 2026.
## Identity
- **NPI:** 1366300485 (Entity type: Individual)
- **Enumerated:** January 15, 2026
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 11036129 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 18037 MAMBO DR, Boca Raton, FL 33496-4113
- **Phone:** (917) 309-6339
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** January 15, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1366300485) · Data from the CMS NPPES public registry.