EDUARD TSYRULNYKOV APNP
NPI 1720213812
Nurse Practitioner - Psychiatric/Mental Health in Mequon, WI

Q: What is Eduard Tsyrulnykov's NPI number?

The NPI number for Eduard Tsyrulnykov is 1720213812. It was assigned to this individual provider in the NPPES registry on May 19, 2009.

Q: What is Eduard Tsyrulnykov's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since May 19, 2009PECOS EnrolledAccepts Medicare Assignment

11649 N PORT WASHINGTON RD STE 221, MEQUON, WI 53092(262) 999-3495 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 1, 2026, May 27, 2026, May 21, 2026 and 11 more (14 updates tracked since 2016).

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About Eduard Tsyrulnykov Apnp NPPES

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

EDUARD TSYRULNYKOV APNP (NPI 1720213812) is an individual psychiatric/mental health provider in Mequon, Wisconsin, licensed in Wisconsin (9921-33) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in Miami, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1720213812

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameEDUARD TSYRULNYKOVCredential: APNP

Location Address11649 N PORT WASHINGTON RD STE 221Mequon, WI 53092-3461

Mailing Address11649 N Port Washington Rd Ste 221Mequon, WI 53092-3461 · (262) 999-3495

Phone(262) 999-3495

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateMay 19, 2009

Last NPPES UpdateJune 1, 202614 updates tracked since enumeration

NPPES CertifiedJune 1, 2026

✔ NPI 1720213812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in WI · 9921-33

Also ListedNurse PractitionerTaxonomy 363L00000X · License 9921-33 (WI)

11649 N PORT WASHINGTON RD STE 221, Mequon, WI 53092

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Secondary Practice Location 1

Location 166 W Flagler St Ste 900Miami, FL 33130-1807 · Phone (414) 915-5665

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Nebraska, CareSource (Common Ground Healthcare) 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

Eduard Tsyrulnykov Apnp 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 ID8527489855

PECOS Enrollment IDI20200522000330

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 53092 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 9

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

CASSANDRA A CARLSON LCSW

Social Worker (Clinical)