Individual provider Active NPI

Yana Masikhaeva

  • Family Nurse Practitioner
  • Briarwood, NY
National Provider Identifier
1164130498
Registry record updated Mar 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
350597 Issued in NY
Practice address
8515 Main St
Briarwood, NY 11435-1879
Phone
(718) 523-7188
NPI assigned
Nov 7, 2022
Last updated
Mar 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 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 350597 NY Primary

Addresses

Primary practice location

8515 Main St
Briarwood, NY 11435-1879

Mailing address

201 E 65TH St
New York, NY 10065-6701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20231101000538 NY Practitioner - Nurse Practitioner 3870949522 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prine Health Medical Group, PLLCGroup PAC ID 1557600384, 77 clinicians

Practice addresses (Care Compare)

1129 Northern Blvd
Suite 101
Manhasset, NY 11030-3022
Phone (516) 407-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Prine Health Medical Group, PLLC CurrentSince Oct 1, 2025 Accepting new patients
Atlantic Endocrinology and Diabetes PC CurrentSince Sep 1, 2023 Accepting new patients
Prine Health Medical Group, PLLC CurrentSince Oct 1, 2025 Accepting new patients
Perry Ave Family Medical Center Inc CurrentSince Jul 1, 2025 Accepting new patients

Locations

20110 Northern Blvd
Ste 304
Bayside, NY 11361
Phone (516) 407-2727

3071 Perry Ave
Bronx, NY 10467
Phone (718) 231-6700

370 Old Country Rd
Ste 100
Garden City, NY 11530
Phone (516) 222-1000

1129 Northern Blvd
Ste 101
Manhasset, NY 11030
Phone (516) 365-5570

9725 63rd Dr
Rego Park, NY 11374
Phone (718) 271-8185

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711843200000",
    "number": "1164130498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E 65TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8515 MAIN ST",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114351879",
            "telephone_number": "718-523-7188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASIKHAEVA",
        "first_name": "YANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2024-03-31",
        "certification_date": "2024-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "350597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Briarwood, NY

Sources for this page

Verify at the official NPI Registry.