YAN GOLUB (NP) – Family Nurse Practitioner, NPI 1124807748

YAN GOLUB (NP) is a healthcare provider. based in Erie, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. AP61462709 (WA). The NPI Number for YAN GOLUB (NP) is 1124807748

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
YAN GOLUB (NP)
NPI
1124807748
Phone
(253) 880-4073
Address
437 W 6TH ST APT 5
Enumeration Date
22 September 2023
Last Update Date
5 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2064315314
Graduation Year
2023 (3 years ago)
PAC ID
8022463223
Group Practice PAC ID
0547436313
Professional Enrollment ID
I20240807003613
Address ID
WA981663017BU16251SWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

6,261 NURSE PRACTITIONER in WA

Provider Addresses for YAN GOLUB (NP)

  • 437 W 6TH ST APT 5

    ERIE, PA 165071231

    Phone: (253) 880-4073

    Type: Mailing

  • 16251 SYLVESTER RD SW

    BURIEN, WA 981663017

    Phone: (253) 880-4073

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $450.

Total Amount is formed as General ($450) + Research ($0) + Ownership ($0) = $450.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($178).

Total Amount

$450

General + Research + Ownership

Payments

24

Total payment records

General Amount

$450

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2024-08-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20231009000356INurse PractitionerPATBD
I20240807003613INurse PractitionerWATBD

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 16507)

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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: 0547436313View full group profile

Reviews

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Frequently asked questions

How do I look up YAN GOLUB (NP) by NPI?
Use NPI 1124807748 when you need to reference YAN GOLUB (NP) in forms, claims, or directories.
Is YAN GOLUB (NP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does YAN GOLUB (NP) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for YAN GOLUB (NP). Clinical services aligned with this taxonomy classification.
What location metadata exists for YAN GOLUB (NP)?
The page summarizes Erie, Pennsylvania for YAN GOLUB (NP); expand the address list for detail.
What if Erie, Pennsylvania seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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