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TATIANA DYAKONOVA CRNP
NPI 1629740527
Nurse Practitioner - Family in Shamokin, PA

Active since September 29, 2021PECOS EnrolledAccepts Medicare Assignment
531 N FRANKLIN ST, SHAMOKIN, PA 17872(570) 486-4588(570) 486-4590 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 18, 2025, Feb 6, 2025, Sep 29, 2021 (3 updates tracked since 2021).

About Tatiana Dyakonova Crnp NPPES

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

TATIANA DYAKONOVA CRNP (NPI 1629740527) is an individual family provider in Shamokin, Pennsylvania, licensed in Pennsylvania (SP024221) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Schuylkill Medical Center - South Jackson Street, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1629740527
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTATIANA DYAKONOVACredential: CRNP
Location Address531 N FRANKLIN STShamokin, PA 17872-6754
Mailing Address63 Pitt StSharon, PA 16146-2102 · (570) 486-4588 · Fax (570) 486-4590
Phone(570) 486-4588
Fax(570) 486-4590
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 29, 2021
Last NPPES UpdateFebruary 18, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2025
✔ NPI 1629740527 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 PA · SP024221
531 N FRANKLIN ST, Shamokin, PA 17872
Open in Google Maps ↗

Other Names 1

Other Name (5)Tatiana Augustin

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 Dyakonova Crnp 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 ID5991194094
PECOS Enrollment IDI20211111000225
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Schuylkill Medical Center - South Jackson Street

Acute Care Hospitals · Pottsville, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390030
Location420 South Jackson StreetPottsville, PA 17901 · Schuylkill County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17872 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 5

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

SARAH L PURCELL LPC
Counselor (Professional)
531 N FRANKLIN ST
SHAMOKIN, PA 17872
Northumberland County (570) 486-4588
PRIMARY HEALTH NETWORK
Clinic/Center (Federally Qualified Health Center (FQHC))
531 N FRANKLIN ST
SHAMOKIN, PA 17872
Northumberland County (570) 486-4588
ROBIN MICHELLE SPANGLER MD
Family Medicine
531 N FRANKLIN ST
SHAMOKIN, PA 17872
Northumberland County (570) 486-4588
SANJAY SEN MD PC
Internal Medicine
531 N FRANKLIN ST, SUITE A
SHAMOKIN, PA 17872
Northumberland County (570) 648-0000
DR. SANJAY K SEN MD
Internal Medicine
531 N FRANKLIN ST, SUITE A
SHAMOKIN, PA 17872
Northumberland County (570) 648-0000

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 Tatiana Dyakonova's NPI number?

The NPI number for Tatiana Dyakonova is 1629740527. It was assigned to this individual provider in the NPPES registry on September 29, 2021. The provider is also known as Tatiana Augustin.

Where is Tatiana Dyakonova located?

Tatiana Dyakonova practices at 531 N Franklin St, Shamokin, PA 17872. The listed phone number is (570) 486-4588.

What is Tatiana Dyakonova's specialty?

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

Is Tatiana Dyakonova enrolled in Medicare?

Yes. Tatiana Dyakonova 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.

Is Tatiana Dyakonova affiliated with any hospitals?

According to CMS data, Tatiana Dyakonova is affiliated with Schuylkill Medical Center - South Jackson Street.

When was this NPI record last updated?

The NPPES record for Tatiana Dyakonova was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.