IRINA SELIVERSTOV (N.P.) – Nurse Practitioner, NPI 1386646099

IRINA SELIVERSTOV (N.P.) is a healthcare provider. based in Lynn, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P.. They hold a License No. 218125 (MD). The NPI Number for IRINA SELIVERSTOV (N.P.) is 1386646099

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
IRINA SELIVERSTOV (N.P.)
NPI
1386646099
Phone
(781) 581-6181
Address
34 STATE ST
Enumeration Date
12 August 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7815816181
Graduation Year
1999 (27 years ago)
PAC ID
5092729095
Group Practice PAC ID
0042253643
Professional Enrollment ID
I20060130000274
Address ID
MA019011505LY24XXXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

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Provider Addresses for IRINA SELIVERSTOV (N.P.)

  • 20;22;24;26;28;30;32;34, State Street, Lynn, Essex County, Massachusetts, 01903, United States

    LYNN, MA 019011505

    Phone: (781) 581-6181

    Fax: (781) 599-3229

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $1,456.

Total Amount is formed as General ($1,456) + Research ($0) + Ownership ($0) = $1,456.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($234).

Total Amount

$1,456

General + Research + Ownership

Payments

26

Total payment records

General Amount

$1,456

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

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: 2006-01-30

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
I20060130000274INurse PractitionerMATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes3625$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes2214$0
99214Established patient office or other outpatient visit, 30-39 minutes1312$0
View full utilization report →

Insurance plans in this area (ZIP 01901)

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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: 0042253643View full group profile
NameSpecialtyState
Internal MedicineMA

Reviews

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Frequently asked questions

How do I look up IRINA SELIVERSTOV (N.P.) by NPI?
Use NPI 1386646099 when you need to reference IRINA SELIVERSTOV (N.P.) in forms, claims, or directories.
Is IRINA SELIVERSTOV (N.P.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does IRINA SELIVERSTOV (N.P.) list a primary specialty?
If you are matching referrals, note Nurse Practitioner for IRINA SELIVERSTOV (N.P.). Clinical services aligned with this taxonomy classification.
What location shows for IRINA SELIVERSTOV (N.P.)?
We surface Lynn, Massachusetts for IRINA SELIVERSTOV (N.P.) based on available NPPES addresses.
What if Lynn, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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