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

Q: 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.

Q: What is Stephanie Pyatkovskiy's specialty?

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

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: August 16, 2026.

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

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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

Phone(805) 523-5400

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

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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

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.

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.

DR. KAITLYN DANNER MD

Family Medicine