Individual provider Active NPI

Olga Mikhaylovna Markushova

  • Family Nurse Practitioner
  • Worcester, MA
National Provider Identifier
1023826534
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2370766 Issued in MA
Practice address
67 Millbrook St
Worcester, MA 01606-2835
Phone
(508) 283-4513
NPI assigned
Dec 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2370766 MA Primary

Addresses

Primary practice location

67 Millbrook St
Worcester, MA 01606-2835

Mailing address

67 Millbrook St
Worcester, MA 01606-2835

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250325001369 MA Practitioner - Nurse Practitioner 1052834694 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integral Health Partners LLC CurrentSince Jan 13, 2025 Accepting new patients

Locations

67 Millbrook St
Ste 406A
Worcester, MA 01606
Phone (508) 283-4513

67 Millbrook St
Ste 406B
Worcester, MA 01606
Phone (413) 512-1529

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1023826534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 MILLBROOK ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016062835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 MILLBROOK ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016062835",
            "telephone_number": "508-283-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKUSHOVA",
        "first_name": "OLGA",
        "middle_name": "MIKHAYLOVNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2370766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.