LYDIA HELEN NEFEDOV MSN, AGNP-BC
NPI 1902349772
Nurse Practitioner - Acute Care in San Antonio, TX

Active since November 28, 2016PECOS EnrolledAccepts Medicare Assignment
3463 MAGIC DR STE T21, SAN ANTONIO, TX 78229(210) 614-8101 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 11, 2026, Aug 10, 2023, Sep 20, 2022 and 2 more (5 updates tracked since 2018).

About Lydia Helen Nefedov Msn, Agnp-bc NPPES

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

LYDIA HELEN NEFEDOV MSN, AGNP-BC (NPI 1902349772) is an individual acute care provider in San Antonio, Texas, licensed in Ohio (APRN.CNP.0040200) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS, is affiliated with Ascension Ne Wisconsin - St Elizabeth Campus, and maintains a secondary practice location in Kettering.

NPPES Registry Identity

NPI1902349772
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameLYDIA HELEN NEFEDOVCredential: MSN, AGNP-BC
Location Address3463 MAGIC DR STE T21San Antonio, TX 78229-3621
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 28, 2016
Last NPPES UpdateMarch 11, 20265 updates tracked since enumeration
NPPES CertifiedMarch 11, 2026
✔ NPI 1902349772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses✔ Licensed in OH · APRN.CNP.0040200✔ Licensed in TX · 1075580
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License APRN002369 (NV), 71013911A (IN)
3463 MAGIC DR STE T21, San Antonio, TX 78229

Secondary Practice Location 1

Location 13533 Southern Blvd Ste 5650Kettering, OH 45429-1263 · Phone (937) 294-3611

Other Identifiers 1

Other090540884IN · Medicare Ptan

Accepted Insurance

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

Lydia Helen Nefedov Msn, Agnp-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 ID5092096206
PECOS Enrollment IDI20251027001740, I20260115000122
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

11

Medicare enrollment records show Lydia Nefedov reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
3463 MAGIC DR, SUITE T21
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 6 clinicians in this Medicare group
Family Medicine
502 MADISON OAK DR STE 310
San Antonio, TX 78258
  • Reassigned Medicare billing, Texas enrollment
  • 964 clinicians in this Medicare group
Intermediate Care Facility, Intellectual Disabilities
6711 S NEW BRAUNFELS AVE, STE 500
San Antonio, TX 78223
  • Reassigned Medicare billing, Texas enrollment
  • 452 clinicians in this Medicare group
Geriatric Medicine
2911 MEDICAL ARTS ST STE 10
Austin, TX 78705
  • Reassigned Medicare billing, Texas enrollment
  • 140 clinicians in this Medicare group
Multi-Specialty
2651 E DISCOVERY PKWY
Bloomington, IN 47408
  • Reassigned Medicare billing, Indiana enrollment
  • 783 clinicians in this Medicare group
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
Neurological Surgery
800 N GIBSON RD STE 101
Henderson, NV 89011
  • Reassigned Medicare billing, Nevada enrollment
  • 23 clinicians in this Medicare group
Internal Medicine
3017 W CHARLESTON BLVD, SUITE 60
Las Vegas, NV 89102
  • Reassigned Medicare billing, Nevada enrollment
Orthopaedic Surgery
1 PRESTIGE PL, SUITE 910
Miamisburg, OH 45342
  • Reassigned Medicare billing, Ohio enrollment
  • 984 clinicians in this Medicare group
Rural Health
141 MAIN STREET
Ellendale, ND 58436
  • Reassigned Medicare billing, North Dakota enrollment
  • 1,464 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension NE Wisconsin - St Elizabeth Campus

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520009
Location1506 S Oneida StAppleton, WI 54915 · Outagamie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 17

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

Perfusionist
3463 MAGIC DR STE T21
SAN ANTONIO, TX 78229
Perfusionist
3463 MAGIC DR STE T21
SAN ANTONIO, TX 78229
Specialist/Technologist, Other (Surgical Assistant)
3463 MAGIC DR STE T21
SAN ANTONIO, TX 78229
Perfusionist
3463 MAGIC DR STE T21
SAN ANTONIO, TX 78229
Physician Assistant (Surgical)
3463 MAGIC DR STE T21
SAN ANTONIO, TX 78229
Specialist/Technologist, Other (Surgical Assistant)
3463 MAGIC DR STE T21
SAN ANTONIO, TX 78229
Specialist/Technologist, Other (Surgical Assistant)
3463 MAGIC DR STE T21
SAN ANTONIO, TX 78229
Surgery
3463 MAGIC DR STE T21
SAN ANTONIO, TX 78229

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 Lydia Nefedov's NPI number?

The NPI number for Lydia Nefedov is 1902349772. It was assigned to this individual provider in the NPPES registry on November 28, 2016.

Where is Lydia Nefedov located?

Lydia Nefedov practices at 3463 Magic Dr Ste T21, San Antonio, TX 78229. The listed phone number is (210) 614-8101.

What is Lydia Nefedov's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Lydia Nefedov enrolled in Medicare?

Yes. Lydia Nefedov 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 organizations bill Medicare for Lydia Nefedov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lydia Nefedov reassigns Medicare benefits to 11 organizations: San Antonio Assisting Services, LLC (San Antonio, TX), Bhs Physicians Network, Inc (San Antonio, TX), Health And Human Services Commission (San Antonio, TX), Post Acute Specialists Of Texas PA (Austin, TX), Indiana University Health Southern Indiana Physicians, LLC (Bloomington, IN) and 6 more organizations, listed in the Medicare section above. 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 Lydia Nefedov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lydia Nefedov accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of North Dakota and 8 other insurers list Lydia Nefedov 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.

Is Lydia Nefedov affiliated with any hospitals?

According to CMS data, Lydia Nefedov is affiliated with Ascension NE Wisconsin - St Elizabeth Campus.

When was this NPI record last updated?

The NPPES record for Lydia Nefedov was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.