TATIANA SOFRONOVA GRZEDA APRN
NPI 1609761261
Nurse Practitioner - Psychiatric/Mental Health in Las Vegas, NV

Q: What is Tatiana Grzeda's NPI number?

The NPI number for Tatiana Grzeda is 1609761261. It was assigned to this individual provider in the NPPES registry on June 12, 2025.

Q: What is Tatiana Grzeda's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tatiana Grzeda was last updated on June 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 12, 2025PECOS EnrolledAccepts Medicare Assignment

2775 S JONES BLVD STE 101, LAS VEGAS, NV 89146(702) 685-3300 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Tatiana Sofronova Grzeda Aprn NPPES

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

TATIANA SOFRONOVA GRZEDA APRN (NPI 1609761261) is an individual psychiatric/mental health provider in Las Vegas, Nevada, licensed in Nevada (831675) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1609761261

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameTATIANA SOFRONOVA GRZEDACredential: APRN

Location Address2775 S JONES BLVD STE 101Las Vegas, NV 89146-5632

Mailing Address2775 S Jones BlvdLas Vegas, NV 89146-5631 · (702) 685-3300

Phone(702) 685-3300

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateJune 12, 2025

NPPES CertifiedJune 12, 2025

✔ NPI 1609761261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NV · 831675

2775 S JONES BLVD STE 101, Las Vegas, NV 89146

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Tatiana Sofronova Grzeda Aprn 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 ID9830690536

PECOS Enrollment IDI20250902004275

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 89146 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

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.

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Other Providers at the Same Location NPPES 18

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

TAMIKO DT PHILLIPS

Rehabilitation Practitioner