Elena S. Pekurovsky, D.C., DACM, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

1582 Issued in MN

Practice address

8421 Wayzata Blvd Ste 230
Golden Valley, MN 55426-1392

Phone

(612) 242-1335

Fax

(866) 420-3717

NPI assigned

Oct 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Allina Health System

  • Family Medicine Physician
  • Minneapolis, MN
  • NPI 1467758813
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1093804494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17710 35TH AVE N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554471172",
            "telephone_number": "612-242-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8421 WAYZATA BLVD STE 230",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261392",
            "telephone_number": "612-242-1335",
            "fax_number": "866-420-3717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3024 Snelling Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554061911",
            "country_code": "US",
            "telephone_number": "612-775-4900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEKUROVSKY",
        "first_name": "ELENA",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.C., DACM, L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3627",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5110285",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "543716400",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL PROVIDER",
            "identifier": "528K1PE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "44-01147",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS  IDENTIFICATION #",
            "identifier": "527K1AM",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pathways Chiropractic Center PA
• Rochell J Paulson, PT
• Jennifer L Pavwoski, NP-C
• Peaceful Bridges Assisted Living
• Nicole Marie Pearson
• Joyce Cecile Perrin, MSW
• Nergis Petersen, MA, LPCC
• Grace C Peterson, M.D.
• Halie Peterson
• Molly Peterson, OTR/L

• Acupuncturist in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Acupuncturist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.