SERGIY PANKIN (ARNP, FNP-BC) – Family Nurse Practitioner, NPI 1275053894

SERGIY PANKIN (ARNP, FNP-BC) is a healthcare provider. based in North miami, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP, FNP-BC. They hold a License No. ARNP9299746 (FL). The NPI Number for SERGIY PANKIN (ARNP, FNP-BC) is 1275053894

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
SERGIY PANKIN (ARNP, FNP-BC)
NPI
1275053894
Phone
(305) 891-0050
Address
1065 NE 125th St
Enumeration Date
24 June 2017
Last Update Date
17 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8888526672
Graduation Year
2017 (9 years ago)
PAC ID
5092075853
Group Practice PAC ID
6204733413
Professional Enrollment ID
I20180216000719
Address ID
FL333194985TA7481XBLVD501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for SERGIY PANKIN (ARNP, FNP-BC)

  • 1065 NE 125th St

    Ste 206

    North Miami, FL 331615832

    Phone: (305) 891-0050

    Fax: (305) 891-0497

    Type: Location

  • 10301 Hagen Ranch Rd Ste B200

    Boynton Beach, FL 334373723

    Phone: (561) 752-9490

    Fax: (561) 752-9491

    Type: Location

  • 1065, Northeast 125th Street, North Miami, Miami-Dade County, Florida, 33161, United States

    SUITE 409

    NORTH MIAMI, FL 331615834

    Phone: (888) 852-6672

    Fax: (786) 235-6225

    Type: Mailing

  • 7481, West Oakland Park Boulevard, Lauderhill, Broward County, Florida, 33313, United States

    SUITE 100

    LAUDERHILL, FL 333194985

    Phone: (954) 771-7743

    Fax: (954) 771-7748

    Type: Location

  • 1065 NE 125TH ST

    STE 300

    NORTH MIAMI, FL 331615833

    Phone: (888) 852-6672

    Fax: (058) 914-2283

    Type: Mailing

  • 7481 W OAKLAND PARK BLVD

    STE 100

    TAMARAC, FL 333194985

    Phone: (954) 771-7743

    Fax: (954) 771-7748

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-02-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180216000719INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes23878$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5954$0
View full utilization report →

Insurance plans in this area (ZIP 33161)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204733413View full group profile

Reviews

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Frequently asked questions

What is the registry number for SERGIY PANKIN (ARNP, FNP-BC)?
The registry entry for SERGIY PANKIN (ARNP, FNP-BC) shows NPI 1275053894.
Does the public listing show SERGIY PANKIN (ARNP, FNP-BC) as active?
SERGIY PANKIN (ARNP, FNP-BC)'s NPI record reflects an active status in NPPES.
What type of care does SERGIY PANKIN (ARNP, FNP-BC) provide?
SERGIY PANKIN (ARNP, FNP-BC)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to SERGIY PANKIN (ARNP, FNP-BC)?
SERGIY PANKIN (ARNP, FNP-BC) shows a connection to North Miami, Florida in registry-derived data.
Who maintains SERGIY PANKIN (ARNP, FNP-BC)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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