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YESENIYA KAMYNINA NP
NPI 1740789718
Nurse Practitioner - Adult Health in Kew Gardens, NY

Active since February 06, 2018PECOS Enrolled
12046 QUEENS BLVD, KEW GARDENS, NY 11415(718) 793-3341(718) 268-1666 Get Directions Write a Review

NPPES record last updated: September 9, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Yeseniya Kamynina Np NPPES

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

YESENIYA KAMYNINA NP (NPI 1740789718) is an individual adult health provider in Kew Gardens, New York, licensed in New York (F308549) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740789718
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameYESENIYA KAMYNINACredential: NP
Location Address12046 QUEENS BLVDKew Gardens, NY 11415-1204
Mailing Address97 New Dorp Ln Ste AStaten Island, NY 10306-2364 · (718) 876-6220 · Fax (718) 876-5969
Phone(718) 793-3341
Fax(718) 268-1666
Sole ProprietorNo
Enumeration DateFebruary 6, 2018
Last NPPES UpdateSeptember 9, 2021
NPPES CertifiedSeptember 9, 2021
✔ NPI 1740789718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F308549
12046 QUEENS BLVD, Kew Gardens, NY 11415
Open in Google Maps ↗

Other Identifiers 1

Medicaid05418997NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yeseniya Kamynina Np 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 Yeseniya Kamynina reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Modern Medical Care PC
12 mi
Family Medicine
312 NEPTUNE AVE
Brooklyn, NY 11235
  • Reassigned Medicare billing, New York enrollment
  • 11 clinicians in this Medicare group
NPI 1417258161 (718) 934-7593

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11415 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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 5

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

DR. BILLA MIRIAM FISHER RADOS MD
Internal Medicine (Nephrology)
12046 QUEENS BLVD
KEW GARDENS, NY 11415
Queens County (718) 793-3341
KEW GARDENS DIALYSIS CENTER
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
12046 QUEENS BLVD
KEW GARDENS, NY 11415
Queens County (718) 793-3341
FREEDOM CENTER OF KEW GARDENS, LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
12046 QUEENS BLVD
KEW GARDENS, NY 11415
Queens County (781) 699-9000
QUEENS REPLACEMENT LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
12046 QUEENS BLVD
KEW GARDENS, NY 11415
Queens County (718) 793-3341
DR. MICHAEL M GOLDMAN M.D.
Internal Medicine (Nephrology)
12046 QUEENS BLVD
KEW GARDENS, NY 11415
Queens County (718) 793-3341

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 Yeseniya Kamynina's NPI number?

The NPI number for Yeseniya Kamynina is 1740789718. It was assigned to this individual provider in the NPPES registry on February 6, 2018.

Where is Yeseniya Kamynina located?

Yeseniya Kamynina practices at 12046 Queens Blvd, Kew Gardens, NY 11415. The listed phone number is (718) 793-3341.

What is Yeseniya Kamynina's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Yeseniya Kamynina enrolled in Medicare?

Yes. Yeseniya Kamynina is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Yeseniya Kamynina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yeseniya Kamynina reassigns Medicare benefits to Modern Medical Care PC (Brooklyn, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Yeseniya Kamynina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Yeseniya Kamynina was last updated on September 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.