Active NPI
Oleksandra Ptichkina
- Family Nurse Practitioner
- Center Line, MI
National Provider Identifier
1245872852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704333857
- Practice address
- 8521 George
Center Line, MI 48015-1733 - Phone
- (586) 328-6185
- NPI assigned
- Oct 15, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704333857 | MI | Primary |
| Registered Nurse | 163W00000X | 4704333857 | MI |
Addresses
Primary practice location
8521 George
Center Line, MI 48015-1733
Mailing address
8521 George
Center Line, MI 48015-1733
Phone (586) 328-6185
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704333857 | MI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783641600000",
"number": "1245872852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8521 GEORGE",
"city": "CENTER LINE",
"state": "MI",
"postal_code": "480151733",
"telephone_number": "586-328-6185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8521 GEORGE",
"city": "CENTER LINE",
"state": "MI",
"postal_code": "480151733",
"telephone_number": "586-328-6185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PTICHKINA",
"first_name": "OLEKSANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-15",
"last_updated": "2026-07-10",
"certification_date": "2026-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704333857",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704333857",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Center Line, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.