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OLEKSANDRA MYRONENKO PA-C
NPI 1992521546
Physician Assistant in Revere, MA

Active since November 27, 2024PECOS Enrolled
454 BROADWAY, REVERE, MA 02151(781) 485-8222 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Oleksandra Myronenko Pa-c NPPES

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

OLEKSANDRA MYRONENKO PA-C (NPI 1992521546) is an individual physician assistant in Revere, Massachusetts, licensed in Massachusetts (PA102347) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (2026).

NPPES Registry Identity

NPI1992521546
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameOLEKSANDRA MYRONENKOCredential: PA-C
Location Address454 BROADWAYRevere, MA 02151-3034
Mailing Address454 BroadwayRevere, MA 02151-3034 · (781) 485-8250 · Fax (781) 485-8220
Phone(781) 485-8222
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2026
Enumeration DateNovember 27, 2024
Last NPPES UpdateFebruary 20, 2026
NPPES CertifiedFebruary 20, 2026
✔ NPI 1992521546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MA · PA102347
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
454 BROADWAY, Revere, MA 02151
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oleksandra Myronenko Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698241156
PECOS Enrollment IDI20260421003575
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 02151 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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 20

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

MARY E MOORE R.N.
Registered Nurse
454 BROADWAY
REVERE, MA 02151
Suffolk County (781) 485-8222
ESSENTIAL CARE CHIROPRACTIC, LLC
Chiropractor
454 BROADWAY
REVERE, MA 02151
Suffolk County (781) 284-1661
MISS THELMA ELAINE THORN RN
Registered Nurse
454 BROADWAY
REVERE, MA 02151
Suffolk County (781) 485-8282
LEYANNA MARIE WILLIAMS RN
Registered Nurse
454 BROADWAY
REVERE, MA 02151
Suffolk County (781) 485-8200
DR. JASON ANTHONY GAMBALE D.C.
Chiropractor
454 BROADWAY
REVERE, MA 02151
Suffolk County (781) 284-1661
CRESCENTIA SIEH R.N.
Registered Nurse
454 BROADWAY
REVERE, MA 02151
Suffolk County (781) 485-8222
CAMBRIDGE PUBLIC HEALTH COMMISSION
Pharmacy (Community/Retail Pharmacy)
454 BROADWAY
REVERE, MA 02151
Suffolk County (781) 485-8272
ROSIMEIRE DEMELO
Community Health Worker
454 BROADWAY
REVERE, MA 02151
Suffolk County (781) 485-8221

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 Oleksandra Myronenko's NPI number?

The NPI number for Oleksandra Myronenko is 1992521546. It was assigned to this individual provider in the NPPES registry on November 27, 2024.

Where is Oleksandra Myronenko located?

Oleksandra Myronenko practices at 454 Broadway, Revere, MA 02151. The listed phone number is (781) 485-8222.

What is Oleksandra Myronenko's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Oleksandra Myronenko enrolled in Medicare?

Yes. Oleksandra Myronenko is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Oleksandra Myronenko was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.