MS. TETYANA TYMKIV N.P.
NPI 1639464118
Nurse Practitioner - Adult Health in Rochester, NY

Active since June 13, 2011PECOS Enrolled
1425 PORTLAND AVE, ROCHESTER, NY 14621(585) 922-4026(585) 922-4790 Get Directions Write a Review

NPPES record last updated: April 17, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Tetyana Tymkiv N.p. NPPES

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

MS. TETYANA TYMKIV N.P. (NPI 1639464118) is an individual adult health provider in Rochester, New York, licensed in New York (F305682) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1639464118
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. TETYANA TYMKIVCredential: N.P.
Location Address1425 PORTLAND AVERochester, NY 14621
Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · (585) 922-0553
Fax(585) 922-4790
Sole ProprietorNo
Enumeration DateJune 13, 2011
Last NPPES UpdateApril 17, 2019
✔ NPI 1639464118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F305682
1425 PORTLAND AVE, Rochester, NY 14621

Secondary Practice Location 1

Location 1601 Elmwood AveRochester, NY 14642-0001 · Phone (585) 275-5276 · Fax (585) 273-2875

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Tetyana Tymkiv N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Tetyana Tymkiv reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
1425 PORTLAND AVE
Rochester, NY 14621
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
Family Medicine
1425 PORTLAND AVE
Rochester, NY 14621
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Western New York Medical Practice PC
  • 1,030 clinicians in this Medicare group
Nutrition, Obesity and Weight Management
46 PRINCE ST STE 3001
Rochester, NY 14607
  • Reassigned Medicare billing, New York enrollment
  • 302 clinicians in this Medicare group
Nurse Practitioner
15 FISHERS RD STE 114
Pittsford, NY 14534
  • Reassigned Medicare billing, New York enrollment
  • 108 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 14621 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 20

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

Dentist
1425 PORTLAND AVE
ROCHESTER, NY 14621
Anesthesiology
1425 PORTLAND AVE
ROCHESTER, NY 14621
Physician Assistant
1425 PORTLAND AVE, BOX 362
ROCHESTER, NY 14621
Emergency Medicine
1425 PORTLAND AVE
ROCHESTER, NY 14621
Emergency Medicine
1425 PORTLAND AVE
ROCHESTER, NY 14621
Internal Medicine (Hematology)
1425 PORTLAND AVE
ROCHESTER, NY 14621
Hospitalist
1425 PORTLAND AVE
ROCHESTER, NY 14621
Hospitalist
1425 PORTLAND AVE
ROCHESTER, NY 14621

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 Tetyana Tymkiv's NPI number?

The NPI number for Tetyana Tymkiv is 1639464118. It was assigned to this individual provider in the NPPES registry on June 13, 2011.

Where is Tetyana Tymkiv located?

Tetyana Tymkiv practices at 1425 Portland Ave, Rochester, NY 14621. The listed phone number is (585) 922-4026.

What is Tetyana Tymkiv's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Tetyana Tymkiv enrolled in Medicare?

Yes. Tetyana Tymkiv is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tetyana Tymkiv's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tetyana Tymkiv reassigns Medicare benefits to 4 organizations: Rochester General Hospital (Rochester, NY), Western New York Medical Practice P.C. (Rochester, NY), Internal Medicine Group (Rochester, NY) and Midtown East Medical Services, PC (Pittsford, NY). Each 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 Tetyana Tymkiv'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 Tetyana Tymkiv was last updated on April 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.