NATALIE ZELICHENOK (ARNP) – Nurse Practitioner, NPI 1043216757

NATALIE ZELICHENOK (ARNP) is a healthcare provider. based in Louisville, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. 3003867 (KY). The NPI Number for NATALIE ZELICHENOK (ARNP) is 1043216757

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
NATALIE ZELICHENOK (ARNP)
NPI
1043216757
Phone
(502) 774-8631
Address
2215 PORTLAND AVE
Enumeration Date
27 June 2005
Last Update Date
15 April 2021

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
5027748631
Graduation Year
2002 (24 years ago)
PAC ID
6103718192
Group Practice PAC ID
6901700053
Professional Enrollment ID
I20040325001120
Address ID
KY402121033LO2215XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

7,343 NURSE PRACTITIONER in KY

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Provider Addresses for NATALIE ZELICHENOK (ARNP)

  • 2215, Portland Avenue, Louisville, Jefferson County, Kentucky, 40212, United States

    LOUISVILLE, KY 402121033

    Phone: (502) 774-8631

    Fax: (502) 776-8912

    Type: Location

  • PO BOX 950244

    LOUISVILLE, KY 402950244

    Phone: (502) 953-4700

    Fax: (502) 776-8912

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2023-03-07 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$13
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: 2004-03-25

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
I20040325001120INurse PractitionerKYTBD

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 40212)

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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: 6901700053View full group profile
NameSpecialtyState
Nurse PractitionerPA
Nurse PractitionerKY
-KY
Nurse PractitionerKY
-KY
Clinical Social WorkerKY
O B S T E T R I C S/ G Y N E C O L O G YKY
Clinical Social WorkerKY
Family PracticeKY
Family PracticeKY

Reviews

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Frequently asked questions

Can I verify NATALIE ZELICHENOK (ARNP) with an NPI only?
You can start verification with NPI 1043216757 for NATALIE ZELICHENOK (ARNP), then check state licensing separately.
Does the file indicate NATALIE ZELICHENOK (ARNP) is practicing under active NPI?
Directory data currently reports NATALIE ZELICHENOK (ARNP) as active.
What is NATALIE ZELICHENOK (ARNP)'s primary classification?
Nurse Practitioner is the headline specialty for NATALIE ZELICHENOK (ARNP) here. Clinical services aligned with this taxonomy classification.
Where is NATALIE ZELICHENOK (ARNP) based?
NATALIE ZELICHENOK (ARNP) is tied to Louisville, Kentucky in the data we show; additional addresses may exist on the full record.
Is the information about NATALIE ZELICHENOK (ARNP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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