Slavik Osipchuk, NP

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

62202 Issued in ID

Practice address

987 S Allante PL
Boise, ID 83709-1612

Phone

(208) 947-7246

Fax

(208) 297-7772

NPI assigned

Apr 30, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Vyacheslav Osipchuk Former name

Medicare fee-for-service enrollment

Enrolled in ID

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Treasure Valley Pain Center LLCGroup PAC ID 5890139240, 3 clinicians

Exodus Pain ClinicGroup PAC ID 4789979717, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13461/brand/1/csg/1/fhir/r4

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.

• Exodus Pain Clinic

  • Interventional Pain Medicine Physician
  • Boise, ID
  • NPI 1366849572

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Treasure Valley Pain Center, LLC

  • Pain Medicine Physician
  • Meridian, ID
  • NPI 1477321537
  Medicare reassignment Care Compare group
• Pain Center Inc

  • Pain Clinic/Center
  • Boise, ID
  • NPI 1740582303

  Single Specialty

  Medicare reassignment NPD
• Richard Radnovich DO PC

  • Sports Medicine (Family Medicine) Physician
  • Boise, ID
  • NPI 1417143926

  Single Specialty

  NPD (past)
• Activemed Integrative Health Center

  • Acupuncturist
  • Encinitas, CA
  • NPI 1578799854
  NPD (past)

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

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1164043162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "987 S ALLANTE PL",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091612",
            "telephone_number": "208-947-7246",
            "fax_number": "208-297-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "987 S ALLANTE PL",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091612",
            "telephone_number": "208-947-7246",
            "fax_number": "208-297-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSIPCHUK",
        "first_name": "SLAVIK",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-30",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "62202",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "ID",
            "license": "62202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VYACHESLAV",
            "last_name": "OSIPCHUK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alma Marie Osborn, N.P.
• Jeremiah Osborn, LSW
• Osc Group
• Tyler J Osgood
• Alla Osipchuk, APRN, ACNS-BC
• John Osler, RPSGT
• Mohammed Osman
• Osprey Counseling
• Osprey Transportation
• Marsha JT Oss, CADC, CDC II, BHC II

• Pain Medicine Physician in Boise, ID
• Providers in Boise, ID by specialty
• Pain Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.