OLGA ROUBACHKINA (APRN) – Nurse Practitioner, NPI 1619320157
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,033 NURSE PRACTITIONER in WI
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Provider Addresses for OLGA ROUBACHKINA (APRN)
Mendota Street, Madison, Dane County, Wisconsin, 53704, United States
MADISON, WI 537141060
Phone: (608) 280-3180
Type: Location
1320 Mendota St Ste 120
Madison, WI 537141060
Phone: (608) 280-3180
Type: Location
2448 S 102nd St Ste 180
West Allis, WI 532272150
Phone: (630) 974-6602
Fax: (630) 487-2411
Type: Location
Kessel Court, Madison, Dane County, Wisconsin, 53711, United States
MADISON, WI 537116227
Phone: (608) 280-2636
Type: Mailing
1100 JORIE BLVD STE 300
OAK BROOK, IL 605232219
Phone: (630) 974-6602
Fax: (630) 487-2411
Type: Mailing
8333 GREENWAY BLVD STE 240
MIDDLETON, WI 535623684
Phone: (630) 974-6602
Fax: (630) 487-2411
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $373.
Total Amount is formed as General ($373) + Research ($0) + Ownership ($0) = $373.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Alkermes, Inc. ($176).
Total Amount
$373
General + Research + Ownership
Payments
5
Total payment records
General Amount
$373
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
Top Companies
Largest payers in this snapshot
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: 2023-05-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230509000311 | I | Nurse Practitioner | WI | TBD |
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.
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 53714)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | WI | |
| Clinical Social Worker | WI | |
| Physician Assistant | WI | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI | |
| Psychiatry, Neuropsychiatry | IL | |
| P S Y C H I A T R Y | IL |
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