ANDREY ZHOLNEROVICH FNP
NPI 1689496218
Nurse Practitioner - Family in Salem, OR

Q: What is Andrey Zholnerovich's NPI number?

The NPI number for Andrey Zholnerovich is 1689496218. It was assigned to this individual provider in the NPPES registry on October 25, 2024.

Q: What is Andrey Zholnerovich's specialty?

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

Active since October 25, 2024PECOS EnrolledAccepts Medicare Assignment

610 HAWTHORNE AVE SE STE 110, SALEM, OR 97301(503) 814-4440(503) 814-4444 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Andrey Zholnerovich Fnp NPPES

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

ANDREY ZHOLNEROVICH FNP (NPI 1689496218) is an individual family provider in Salem, Oregon, licensed in Oregon (10034392) and active in the NPI registry since October 2024. He is enrolled in Medicare PECOS, is affiliated with Samaritan Albany General Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1689496218

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameANDREY ZHOLNEROVICHCredential: FNP

Location Address610 HAWTHORNE AVE SE STE 110Salem, OR 97301-5378

Mailing Address610 Hawthorne Ave Se Ste 110Salem, OR 97301-5378 · (503) 814-4440 · Fax (503) 814-4444

Phone(503) 814-4440

Fax(503) 814-4444

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateOctober 25, 2024

NPPES CertifiedOctober 3, 2024

✔ NPI 1689496218 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 OR · 10034392

610 HAWTHORNE AVE SE STE 110, Salem, OR 97301

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.Insurance ›

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

Andrey Zholnerovich Fnp 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 ID2860926060

PECOS Enrollment IDI20241111002893

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 4

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

Samaritan Albany General Hospital

Acute Care Hospitals · Albany, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number380022

Location1046 6th Avenue SWAlbany, OR 97321 · Linn County

Emergency services Birthing friendly

Salem Hospital

Acute Care Hospitals · Salem, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number380051

Location890 Oak Street, SESalem, OR 97301 · Marion County

Emergency services Birthing friendly

Santiam Hospital

Acute Care Hospitals · Stayton, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380056

Location1401 N 10th AvenueStayton, OR 97383 · Marion County

Emergency services

West Valley Hospital

Critical Access Hospitals · Dallas, OR

OwnershipVoluntary non-profit - Private

CMS Certification Number381308

Location525 SE Washington StreetDallas, OR 97338 · Polk County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97301 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

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 10

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

KEVIN H THOMPSON DO

Internal Medicine (Interventional Cardiology)