DR. NADEZHDA NISIMOVA O.D.
NPI 1841546918
Optometrist in Elmhurst, NY

Q: What is Nadezhda Nisimova's NPI number?

The NPI number for Nadezhda Nisimova is 1841546918. It was assigned to this individual provider in the NPPES registry on July 26, 2012.

Q: What is Nadezhda Nisimova's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Nadezhda Nisimova was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 26, 2012PECOS Enrolled

9119 QUEENS BLVD, ELMHURST, NY 11373(347) 295-1605 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Nadezhda Nisimova O.d. NPPES

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

DR. NADEZHDA NISIMOVA O.D. (NPI 1841546918) is an individual optometrist in Elmhurst, New York, licensed in New York (TUV007898) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841546918

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. NADEZHDA NISIMOVACredential: O.D.

Location Address9119 QUEENS BLVDElmhurst, NY 11373-5531

Mailing Address9119 Queens BlvdElmhurst, NY 11373-5531 · (347) 295-1605

Phone(347) 295-1605

Sole ProprietorNo

Enumeration DateJuly 26, 2012

Last NPPES UpdateNovember 3, 2023

NPPES CertifiedNovember 3, 2023

✔ NPI 1841546918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in NY · TUV007898

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

9119 QUEENS BLVD, Elmhurst, NY 11373

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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 Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nadezhda Nisimova O.d. 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 Reassignments

Medicare enrollment records show Nadezhda Nisimova reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Glenridge Optical Warehouse Outlet Inc.

2.7 mi

Optician

6041 MYRTLE AVE
Ridgewood, NY 11385

Reassigned Medicare billing, New York enrollment

NPI 1982830964 (718) 386-2423

Optical Warehouse Outlet Nyc Incorporated

3.5 mi

Optometrist

440 KNICKERBOCKER AVE
Brooklyn, NY 11237

Reassigned Medicare billing, New York enrollment
2 clinicians in this Medicare group

NPI 1811604036 (347) 295-1605

Dynamic Optical 37 Inc

4.4 mi

Optometrist

37 GRAHAM AVE
Brooklyn, NY 11206

Reassigned Medicare billing, New York enrollment

NPI 1912691999 (347) 725-3157

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 11373 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

$153.13 typical visit price

range $67.00 – $201.98

Typical copayment $38.28 (range $16.75 – $50.49)

Most-billed visit code 99204

Established Patient

$82.96 typical visit price

range $21.62 – $163.52

Typical copayment $20.74 (range $5.40 – $40.88)

Most-billed visit code 99213

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 2

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

CITY MEDICAL OF UPPER EAST SIDE, PLLC

Clinic/Center (Urgent Care)

9119 QUEENS BLVD
ELMHURST, NY 11373

Queens County (646) 647-1253

DR. KAMNA GUPTA M.D.

Family Medicine

9119 QUEENS BLVD
ELMHURST, NY 11373

Queens County (646) 647-1253

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 Nadezhda Nisimova's NPI number?

The NPI number for Nadezhda Nisimova is 1841546918. It was assigned to this individual provider in the NPPES registry on July 26, 2012.

Where is Nadezhda Nisimova located?

Nadezhda Nisimova practices at 9119 Queens Blvd, Elmhurst, NY 11373. The listed phone number is (347) 295-1605.

What is Nadezhda Nisimova's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Nadezhda Nisimova enrolled in Medicare?

Yes. Nadezhda Nisimova is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nadezhda Nisimova's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nadezhda Nisimova reassigns Medicare benefits to 3 organizations: Glenridge Optical Warehouse Outlet Inc. (Ridgewood, NY), Optical Warehouse Outlet Nyc Incorporated (Brooklyn, NY) and Dynamic Optical 37 Inc (Brooklyn, NY). Each 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 Nadezhda Nisimova's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nadezhda Nisimova accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Nadezhda Nisimova 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.

When was this NPI record last updated?

The NPPES record for Nadezhda Nisimova was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.