INTA DAVIDYUK FNP
NPI 1902577141
Nurse Practitioner - Family in Bolivar, MO
About Inta Davidyuk Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTA DAVIDYUK FNP (NPI 1902577141) is an individual family provider in Bolivar, Missouri, licensed in Missouri (2021021667) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Springfield, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
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
Inta Davidyuk Fnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Inta Davidyuk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Buffalo, MO 65622
- Reassigned Medicare billing, Missouri enrollment
- Also billed through NPI 1245277631 (Missouri)
- 1,487 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.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Hospital Springfield
Acute Care Hospitals · Springfield, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 65613 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Inta Davidyuk's NPI number?
The NPI number for Inta Davidyuk is 1902577141. It was assigned to this individual provider in the NPPES registry on September 27, 2021.
Where is Inta Davidyuk located?
Inta Davidyuk practices at 3817 S Springfield Ave Ste 140, Bolivar, MO 65613. The listed phone number is (417) 422-4769.
What is Inta Davidyuk's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Inta Davidyuk enrolled in Medicare?
Yes. Inta Davidyuk 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 Inta Davidyuk's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Inta Davidyuk reassigns Medicare benefits to Mercy Clinic Springfield Communities (Buffalo, MO). 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 Inta Davidyuk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Inta Davidyuk accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Inta Davidyuk 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 Inta Davidyuk affiliated with any hospitals?
According to CMS data, Inta Davidyuk is affiliated with Mercy Hospital Springfield.
When was this NPI record last updated?
The NPPES record for Inta Davidyuk was last updated on November 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Inta Davidyuk, FNP · NPI 1902577141
Family physician in Bolivar, Missouri. Individual provider, active in the CMS NPPES registry since September 27, 2021.
## Identity
- **NPI:** 1902577141 (Entity type: Individual)
- **Enumerated:** September 27, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2021021667 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 3817 S SPRINGFIELD AVE STE 140, Bolivar, MO 65613-9129
- **Phone:** (417) 422-4769
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mercy Clinic Springfield Communities (NPI 1629103502, Buffalo, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** November 18, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1902577141) · Data from the CMS NPPES public registry.