STEPHANIE PYATKOVSKIY NP
NPI 1457012221
Nurse Practitioner - Family in Moorpark, CA

Active since January 04, 2022PECOS EnrolledAccepts Medicare Assignment
612 SPRING RD BLDG A, MOORPARK, CA 93021(805) 523-5400 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 8, 2024, Jan 4, 2022 (2 updates tracked since 2022).

About Stephanie Pyatkovskiy Np NPPES

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

STEPHANIE PYATKOVSKIY NP (NPI 1457012221) is an individual family provider in Moorpark, California, licensed in California (95015467) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1457012221
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTEPHANIE PYATKOVSKIYCredential: NP
Location Address612 SPRING RD BLDG AMoorpark, CA 93021-1298
Mailing Address800 S #l4640Ventura, CA 93009-0001
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 4, 2022
Last NPPES UpdateAugust 8, 20242 updates tracked since enumeration
NPPES CertifiedAugust 8, 2024
✔ NPI 1457012221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95015467
612 SPRING RD BLDG A, Moorpark, CA 93021

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

Stephanie Pyatkovskiy Np 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 ID8820462450
PECOS Enrollment IDI20230323000087
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

2

Medicare enrollment records show Stephanie Pyatkovskiy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Federally Qualified Health Center (FQHC)
612 SPRING RD
Moorpark, CA 93021
  • Reassigned Medicare billing, California enrollment
  • 710 clinicians in this Medicare group
Internal Medicine
1240 S WESTLAKE BLVD, SUITE 137
Westlake Village, CA 91361
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group

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 93021 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
$95.28 typical visit price
range $62.32 – $185.36
Typical copayment $23.82 (range $15.58 – $46.34)
Most-billed visit code 99203
Established Patient
$108.74 typical visit price
range $20.68 – $151.85
Typical copayment $27.18 (range $5.17 – $37.96)
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 6

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

Family Medicine
612 SPRING RD BLDG A
MOORPARK, CA 93021
Family Medicine
612 SPRING RD BLDG A
MOORPARK, CA 93021
Family Medicine
612 SPRING RD BLDG A
MOORPARK, CA 93021
Family Medicine
612 SPRING RD BLDG A
MOORPARK, CA 93021
Internal Medicine (Cardiovascular Disease)
612 SPRING RD BLDG A
MOORPARK, CA 93021
Family Medicine
612 SPRING RD BLDG A
MOORPARK, CA 93021

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 Stephanie Pyatkovskiy's NPI number?

The NPI number for Stephanie Pyatkovskiy is 1457012221. It was assigned to this individual provider in the NPPES registry on January 4, 2022.

Where is Stephanie Pyatkovskiy located?

Stephanie Pyatkovskiy practices at 612 Spring Rd Bldg A, Moorpark, CA 93021. The listed phone number is (805) 523-5400.

What is Stephanie Pyatkovskiy's specialty?

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

Is Stephanie Pyatkovskiy enrolled in Medicare?

Yes. Stephanie Pyatkovskiy 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 Stephanie Pyatkovskiy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Pyatkovskiy reassigns Medicare benefits to 2 organizations: County Of Ventura (Moorpark, CA) and Dayamed, Inc. (Westlake Village, CA). 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 Stephanie Pyatkovskiy'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 Stephanie Pyatkovskiy was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.