NADEZHDA KRAVCHUK (NP-C) – Nurse Practitioner, NPI 1033686076

NADEZHDA KRAVCHUK (NP-C) is a healthcare provider. based in Meridian, Idaho. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 59965 (ID). The NPI Number for NADEZHDA KRAVCHUK (NP-C) is 1033686076

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
NADEZHDA KRAVCHUK (NP-C)
NPI
1033686076
Phone
(208) 302-7000
Address
3340 E GOLDSTONE DR.
Enumeration Date
29 October 2018
Last Update Date
12 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2088987467
Graduation Year
2018 (8 years ago)
PAC ID
5698016988
Group Practice PAC ID
8729366455
Professional Enrollment ID
I20190415002189
Address ID
ID836467442ME4664XWAYX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,802 NURSE PRACTITIONER in ID

Provider Addresses for NADEZHDA KRAVCHUK (NP-C)

  • East Goldstone Drive, Meridian, Ada County, Idaho, 83709, United States

    MERIDIAN, ID 83642

    Phone: (208) 302-7000

    Fax: (208) 302-7055

    Type: Mailing

  • 1150 N SISTER CATHERINE WAY

    NAMPA, ID 83687

    Phone: (208) 302-7000

    Fax: (208) 302-7055

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $677.

Total Amount is formed as General ($677) + Research ($0) + Ownership ($0) = $677.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($260).

Total Amount

$677

General + Research + Ownership

Payments

20

Total payment records

General Amount

$677

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-04-15

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
I20190415002189INurse PractitionerIDTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83642)

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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: 8729366455View full group profile
NameSpecialtyState
Physician AssistantID
Physician AssistantID
Nurse PractitionerID
D E R M A T O L O G YID
D E R M A T O L O G YID
Nurse PractitionerID
D E R M A T O L O G YCA
Nurse PractitionerID

Reviews

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Frequently asked questions

How is NADEZHDA KRAVCHUK (NP-C) identified in CMS data?
CMS-hosted NPPES data lists NADEZHDA KRAVCHUK (NP-C) with NPI 1033686076.
Does CMS list NADEZHDA KRAVCHUK (NP-C) as active?
Yes — NADEZHDA KRAVCHUK (NP-C) is active in the NPI listing used on this page.
What taxonomy line describes NADEZHDA KRAVCHUK (NP-C)?
For research purposes, treat NADEZHDA KRAVCHUK (NP-C) as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is NADEZHDA KRAVCHUK (NP-C) based?
NADEZHDA KRAVCHUK (NP-C) is tied to Meridian, Idaho in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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