NELYA MIROSHNICHENKO
NPI 1619101524
Nurse Practitioner - Family in Minneapolis, MN
About Nelya Miroshnichenko NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NELYA MIROSHNICHENKO (NPI 1619101524) is an individual family provider in Minneapolis, Minnesota, licensed in Massachusetts (RN285400) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nelya Miroshnichenko is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nelya Miroshnichenko reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Nashville, TN 37219
- Reassigned Medicare billing, Massachusetts enrollment
- 125 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 55402 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 20
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 Nelya Miroshnichenko's NPI number?
The NPI number for Nelya Miroshnichenko is 1619101524. It was assigned to this individual provider in the NPPES registry on May 6, 2009.
Where is Nelya Miroshnichenko located?
Nelya Miroshnichenko practices at 920 2nd Ave S Suite 400, Minneapolis, MN 55402. The listed phone number is (800) 389-2727.
What is Nelya Miroshnichenko's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nelya Miroshnichenko enrolled in Medicare?
Yes. Nelya Miroshnichenko is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nelya Miroshnichenko's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nelya Miroshnichenko reassigns Medicare benefits to Matrix Medical Plus (Nashville, TN). The 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 Nelya Miroshnichenko'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 Nelya Miroshnichenko was last updated on May 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Nelya Miroshnichenko · NPI 1619101524
Family physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since May 6, 2009.
## Identity
- **NPI:** 1619101524 (Entity type: Individual)
- **Enumerated:** May 6, 2009
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN285400 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 920 2ND AVE S, SUITE 400, Minneapolis, MN 55402-3318
- **Phone:** (800) 389-2727
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Matrix Medical Plus (NPI 1376973461, Nashville, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 6, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1619101524) · Data from the CMS NPPES public registry.