MANDY MICHELLE ILNYCKYJ APRN
NPI 1720566482
Nurse Practitioner - Family in Crestview, FL

Q: What is Mandy Ilnyckyj's NPI number?

The NPI number for Mandy Ilnyckyj is 1720566482. It was assigned to this individual provider in the NPPES registry on August 3, 2018.

Q: What is Mandy Ilnyckyj's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mandy Ilnyckyj was last updated on July 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.

Active since August 03, 2018PECOS Enrolled

302 E JAMES LEE BLVD, CRESTVIEW, FL 32539(850) 682-1002(850) 689-4412 Get Directions Write a Review

NPPES record last updated: July 3, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 24, 2020, Feb 28, 2019, Aug 3, 2018 (3 updates tracked since 2018).

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About Mandy Michelle Ilnyckyj Aprn NPPES

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

MANDY MICHELLE ILNYCKYJ APRN (NPI 1720566482) is an individual family provider in Crestview, Florida, licensed in Florida (APRN9328758) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720566482

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMANDY MICHELLE ILNYCKYJCredential: APRN

Location Address302 E JAMES LEE BLVDCrestview, FL 32539-2827

Mailing Address302 E James Lee BlvdCrestview, FL 32539-2827 · (850) 682-1002 · Fax (850) 689-4412

Phone(850) 682-1002

Fax(850) 689-4412

Sole ProprietorNo

Enumeration DateAugust 3, 2018

Last NPPES UpdateJuly 3, 20263 updates tracked since enumeration

NPPES CertifiedJuly 3, 2026

✔ NPI 1720566482 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

Licenses✔ Licensed in FL · APRN9328758✔ Licensed in AL · 1-158696

302 E JAMES LEE BLVD, Crestview, FL 32539

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mandy Michelle Ilnyckyj Aprn 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 Reassignment

Medicare enrollment records show Mandy Ilnyckyj reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dynamic Pain & Wellness LLC

22 mi

Anesthesiology

930 MARWALT DR, UNIT C
Fort Walton Beach, FL 32547

Reassigned Medicare billing, Alabama and Florida enrollments
14 clinicians in this Medicare group

NPI 1285007989 (850) 226-6801

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

21 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32539 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 11

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

MRS. MICHELLE THERESE KOSKI ARNP

Nurse Practitioner (Family)