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

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Active since August 08, 2006PECOS Enrolled

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: July 19, 2026.

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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.

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

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

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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 (PECOS)

Olga Mikhaylovna Ter-grigoryan 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.

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.

VICKI BRADY APRN

Nurse Practitioner (Family)