OLEG VIKTOR MIRONCHENKO DNP, APRN, PMHNP-BC
NPI 1538964705
Nurse Practitioner - Psychiatric/Mental Health in Lawrence, KS

Active since February 13, 2025
3320 PETERSON RD STE 104, LAWRENCE, KS 66049(785) 371-1414(785) 371-4519 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 3, 2025, Feb 26, 2025, Feb 13, 2025 (3 updates tracked since 2025).

About Oleg Viktor Mironchenko Dnp, Aprn, Pmhnp-bc NPPES

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

OLEG VIKTOR MIRONCHENKO DNP, APRN, PMHNP-BC (NPI 1538964705) is an individual psychiatric/mental health provider in Lawrence, Kansas, licensed in Kansas (5382879021) and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1538964705
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameOLEG VIKTOR MIRONCHENKOCredential: DNP, APRN, PMHNP-BC
Location Address3320 PETERSON RD STE 104Lawrence, KS 66049-1739
Mailing Address3320 Peterson Rd Ste 104Lawrence, KS 66049-1739 · (785) 371-1414 · Fax (785) 371-4519
Fax(785) 371-4519
Sole ProprietorNo
Enumeration DateFebruary 13, 2025
Last NPPES UpdateNovember 3, 20253 updates tracked since enumeration
NPPES CertifiedNovember 3, 2025
NPI 1538964705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in KS · 5382879021
Also ListedRegistered NurseTaxonomy 163W00000X · License 2024016173 (MO)
3320 PETERSON RD STE 104, Lawrence, KS 66049

Accepted Insurance

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.

Social Worker (Clinical)
3320 PETERSON RD STE 104
LAWRENCE, KS 66049
Social Worker
3320 PETERSON RD STE 104
LAWRENCE, KS 66049
Counselor (Professional)
3320 PETERSON RD STE 104
LAWRENCE, KS 66049
Social Worker (Clinical)
3320 PETERSON RD STE 104
LAWRENCE, KS 66049
Social Worker
3320 PETERSON RD STE 104
LAWRENCE, KS 66049
Psychologist
3320 PETERSON RD STE 104
LAWRENCE, KS 66049

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 Oleg Mironchenko's NPI number?

The NPI number for Oleg Mironchenko is 1538964705. It was assigned to this individual provider in the NPPES registry on February 13, 2025.

Where is Oleg Mironchenko located?

Oleg Mironchenko practices at 3320 Peterson Rd Ste 104, Lawrence, KS 66049. The listed phone number is (785) 371-1414.

What is Oleg Mironchenko's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Oleg Mironchenko accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc., Medica, Oscar Insurance Company and UnitedHealthcare list Oleg Mironchenko as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Oleg Mironchenko was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.