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OLGA MIKHAYLOVNA TER-GRIGORYAN
NPI 1700896420
Nurse Practitioner - Family in Superior, WI

Active since August 08, 2006PECOS EnrolledAccepts Medicare Assignment
3500 TOWER AVE, SUPERIOR, WI 54880(715) 395-5454 Get Directions Write a Review

NPPES record last updated: April 29, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Olga Mikhaylovna Ter-grigoryan NPPES

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

OLGA MIKHAYLOVNA TER-GRIGORYAN (NPI 1700896420) is an individual family provider in Superior, Wisconsin, licensed in Wisconsin (15318-30) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Essentia Health St Mary's Medical Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1700896420
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameOLGA MIKHAYLOVNA TER-GRIGORYAN
Location Address3500 TOWER AVESuperior, WI 54880-5335
Mailing Address3500 Tower AveSuperior, WI 54880-5335 · (715) 395-5454
Phone(715) 395-5454
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 8, 2006
Last NPPES UpdateApril 29, 2011
✔ NPI 1700896420 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 WI · 15318-30
3500 TOWER AVE, Superior, WI 54880
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN006018060WI
Medicaid36005400WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Medica 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

Olga Mikhaylovna Ter-grigoryan 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 ID2264436997
PECOS Enrollment IDI20060911000485, I20080327000105
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 2

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

Essentia Health St Mary's Medical Center

Acute Care Hospitals · Duluth, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240002
Location402 East Second StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

St Marys Hospital Superior

Critical Access Hospitals · Superior, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521329
Location3500 Tower AveSuperior, WI 54880 · Douglas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54880 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

MS. ERIN LEE FISKER PA-C
Physician Assistant
3500 TOWER AVE
SUPERIOR, WI 54880
Douglas County (715) 817-7100
GEORGIA DIMOS BRUNETTE
Internal Medicine
3500 TOWER AVE
SUPERIOR, WI 54880
Douglas County (715) 395-5454
MR. GREGORY STEPHAN VERGAMINI PT, ATC
Physical Therapist (Sports)
3500 TOWER AVE
SUPERIOR, WI 54880
Douglas County (715) 395-5454
DR. JUSTIN BRIAN SPORLEDER MD
Hospitalist
3500 TOWER AVE
SUPERIOR, WI 54880
Douglas County (218) 786-8364
KATHERINE ADELE HAAS PHARMD
Pharmacist
3500 TOWER AVE
SUPERIOR, WI 54880
Douglas County (715) 817-7100
MEGAN E. LIEBAERT
Physical Therapist
3500 TOWER AVE
SUPERIOR, WI 54880
Douglas County (715) 395-5400
RHIANNON ELISE GRIMM PA-C
Physician Assistant
3500 TOWER AVE
SUPERIOR, WI 54880
Douglas County (715) 817-7100
ST. MARY'S HOSPITAL OF SUPERIOR
General Acute Care Hospital (Critical Access)
3500 TOWER AVE
SUPERIOR, WI 54880
Douglas County (715) 395-5400

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 Olga Ter-grigoryan's NPI number?

The NPI number for Olga Ter-grigoryan is 1700896420. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Olga Ter-grigoryan located?

Olga Ter-grigoryan practices at 3500 Tower Ave, Superior, WI 54880. The listed phone number is (715) 395-5454.

What is Olga Ter-grigoryan's specialty?

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

Is Olga Ter-grigoryan enrolled in Medicare?

Yes. Olga Ter-grigoryan 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.

What insurance does Olga Ter-grigoryan accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica, Sanford Health Plan and Security Health Plan list Olga Ter-grigoryan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Olga Ter-grigoryan affiliated with any hospitals?

According to CMS data, Olga Ter-grigoryan is affiliated with Essentia Health St Mary's Medical Center and St Marys Hospital Superior.

When was this NPI record last updated?

The NPPES record for Olga Ter-grigoryan was last updated on April 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.