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TATYANA TRENDAFILOVA RADULOVIC FNP-BC
NPI 1871974964
Nurse Practitioner - Family in Milwaukee, WI

Active since June 15, 2015PECOS EnrolledAccepts Medicare Assignment
81.48/100
CMS Quality Rating
2350 N LAKE DR, SUITE 302, MILWAUKEE, WI 53211(414) 298-7104(414) 298-7117 Get Directions Write a Review

NPPES record last updated: March 15, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 15, 2017, Nov 9, 2016 (2 updates tracked since 2016).

About Tatyana Trendafilova Radulovic Fnp-bc NPPES

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

TATYANA TRENDAFILOVA RADULOVIC FNP-BC (NPI 1871974964) is an individual family provider in Milwaukee, Wisconsin, licensed in Wisconsin (6391-33) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1871974964
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTATYANA TRENDAFILOVA RADULOVICCredential: FNP-BC
Location Address2350 N LAKE DR, SUITE 302Milwaukee, WI 53211-4528
Mailing Address788 N Jefferson St, Suite 300/attn. Kaaren ButzenMilwaukee, WI 53202-3718 · (414) 272-8950 · Fax (414) 272-0859
Phone(414) 298-7104
Fax(414) 298-7117
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 15, 2015
Last NPPES UpdateMarch 15, 20172 updates tracked since enumeration
✔ NPI 1871974964 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 · 6391-33
2350 N LAKE DR, Milwaukee, WI 53211
Open in Google Maps ↗

Other Identifiers 2

Medicaid1871974964WI
Medicare PINK400252476WI

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

Tatyana Trendafilova Radulovic Fnp-bc 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 ID9638483035
PECOS Enrollment IDI20150729008799
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 53211 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.39
Promoting Interoperability100
Improvement Activities40
Cost49.87

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.

IRINA KOSTOVA DIMITROVA M.D.
Obstetrics & Gynecology
2350 N LAKE DR
MILWAUKEE, WI 53211
Milwaukee County (414) 585-1949
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC
Clinic/Center (Multi-Specialty)
2350 N LAKE DR
MILWAUKEE, WI 53211
Milwaukee County (414) 585-1000
DR. LYLE GENE HENRY MD
Surgery
2350 N LAKE DR, SUITE 304
MILWAUKEE, WI 53211
Milwaukee County (414) 298-7220
KELLY A ISHERWOOD PA-C
Physician Assistant
2350 N LAKE DR, SUITE 206
MILWAUKEE, WI 53211
Milwaukee County (414) 298-7280
MICHAEL E KEEFE MD
Internal Medicine (Hematology & Oncology)
2350 N LAKE DR, SUITE 100
MILWAUKEE, WI 53211
Milwaukee County (414) 298-7250
MRS. AUDRA LYNN FELKER NP-C
Nurse Practitioner (Family)
2350 N LAKE DR, SUITE 400
MILWAUKEE, WI 53211
Milwaukee County (414) 271-1633
CATHERINE BARES APNP
Nurse Practitioner
2350 N LAKE DR, SUITE 100
MILWAUKEE, WI 53211
Milwaukee County (414) 298-7250
RACHEL TORGERSON KOEBEL PT, MPT, GCS
Physical Therapist
2350 N LAKE DR
MILWAUKEE, WI 53211
Milwaukee County (414) 296-2554

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 Tatyana Radulovic's NPI number?

The NPI number for Tatyana Radulovic is 1871974964. It was assigned to this individual provider in the NPPES registry on June 15, 2015.

Where is Tatyana Radulovic located?

Tatyana Radulovic practices at 2350 N Lake Dr Suite 302, Milwaukee, WI 53211. The listed phone number is (414) 298-7104.

What is Tatyana Radulovic's specialty?

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

Is Tatyana Radulovic enrolled in Medicare?

Yes. Tatyana Radulovic is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Tatyana Radulovic was last updated on March 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.