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TATYANA SEMENOVA NP
NPI 1891166468
Nurse Practitioner - Adult Health in Brooklyn, NY

Active since October 08, 2015PECOS EnrolledAccepts Medicare Assignment
2717 E 28TH ST, APT 6E, BROOKLYN, NY 11235(347) 332-9186(718) 975-8502 Get Directions Write a Review

NPPES record last updated: July 15, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tatyana Semenova Np NPPES

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

TATYANA SEMENOVA NP (NPI 1891166468) is an individual adult health provider in Brooklyn, New York, licensed in New York (F307141) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and is a graduate of New York University School Of Medicine (2014).

NPPES Registry Identity

NPI1891166468
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameTATYANA SEMENOVACredential: NP
Location Address2717 E 28TH ST, APT 6EBrooklyn, NY 11235-2477
Mailing Address2717 E 28th St Apt 6eBrooklyn, NY 11235-2477 · (347) 332-9186 · Fax (718) 975-8502
Phone(347) 332-9186
Fax(718) 975-8502
Sole ProprietorYes
Medical School CMSNew York University School Of MedicineGraduated 2014
Enumeration DateOctober 8, 2015
Last NPPES UpdateJuly 15, 2016
✔ NPI 1891166468 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 · F307141
2717 E 28TH ST, Brooklyn, NY 11235
Open in Google Maps ↗

Other Names 1

Professional Name (2)Prof. Edelweiss Edelweiss

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tatyana Semenova Np 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 ID8325330996
PECOS Enrollment IDI20161005000415
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 Tatyana Semenova reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prominis Medical Services PC
7.2 mi
Internal Medicine
332 DEKALB AVE
Brooklyn, NY 11205
  • Reassigned Medicare billing, New York enrollment
  • 73 clinicians in this Medicare group
NPI 1841323771 (718) 852-5252

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 11235 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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 Semenova's NPI number?

The NPI number for Tatyana Semenova is 1891166468. It was assigned to this individual provider in the NPPES registry on October 8, 2015. The provider is also known as Prof. Edelweiss Edelweiss.

Where is Tatyana Semenova located?

Tatyana Semenova practices at 2717 E 28th St Apt 6E, Brooklyn, NY 11235. The listed phone number is (347) 332-9186.

What is Tatyana Semenova's specialty?

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

Is Tatyana Semenova enrolled in Medicare?

Yes. Tatyana Semenova 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.

Which organization bills Medicare for Tatyana Semenova's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tatyana Semenova reassigns Medicare benefits to Prominis Medical Services 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 Tatyana Semenova'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 Tatyana Semenova was last updated on July 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.