Individual provider Active NPI

Elena Parhomchuk

  • Family Nurse Practitioner
  • Forest Hills, NY
National Provider Identifier
1366092264
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
350303 Issued in NY
Practice address
11835 Queens Blvd Ste 400
Forest Hills, NY 11375-7211
Phone
(248) 266-4200
NPI assigned
Sep 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11002751 FL
Family Nurse Practitioner 363LF0000X 350303 NY Primary

Addresses

Primary practice location

11835 Queens Blvd Ste 400
Forest Hills, NY 11375-7211

Mailing address

PO Box 639295
Cincinnati, OH 45263-9295
Phone (248) 266-4200

Other practice location 1

841 Prudential Dr Ste 1900
Jacksonville, FL 32207-8373
Phone (904) 633-0920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY, PA, GA, WV, NJ, DC, VA8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20191029000843 FL Practitioner - Nurse Practitioner 0840522660 Reassigns benefits to 2 organizations
I20240719001965 NY Practitioner - Nurse Practitioner 0840522660 Reassigns benefits to 1 organization
I20250708000057 PA Practitioner - Nurse Practitioner 0840522660 Reassigns benefits to 1 organization
I20250716001852 GA Practitioner - Nurse Practitioner 0840522660 Reassigns benefits to 1 organization
I20250827004631 WV Practitioner - Nurse Practitioner 0840522660 Reassigns benefits to 1 organization
I20260527003887 NJ Practitioner - Nurse Practitioner 0840522660 Reassigns benefits to 1 organization
I20260529003363 DC Practitioner - Nurse Practitioner 0840522660 Reassigns benefits to 1 organization
I20260609000968 VA Practitioner - Nurse Practitioner 0840522660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5410 Maryland Way
Suite 400
Brentwood, TN 37027-8087

Merit-based Incentive Payment System (MIPS)

Final score
59.59 of 100Reported as apm
Quality
59.93
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11002751FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Oct 23, 2019 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Current Accepting new patients
Monogram Health Professional Services of Florida LLC Family CurrentSince Jan 9, 2025 Accepting new patients
Harmony Medical Services of New York, PLLC CurrentSince Jul 1, 2024 Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince Oct 23, 2019 Accepting new patients
Monogram Health Professional Services PC Family CurrentSince Jun 26, 2025 Accepting new patients
Monogram Health Professional Services PC Family CurrentSince Jun 10, 2025 Accepting new patients

Locations

1443 San Marco Blvd
Jacksonville, FL 32207
Phone (904) 633-4110

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

841 Prudential Dr
Ste 1900
Jacksonville, FL 32207
Phone (904) 427-8453

4720 Salisbury Rd
Jacksonville, FL 32256
Phone (866) 932-2777

841 Prudential Dr
Ste 100
Jacksonville, FL 32207
Phone (904) 633-4110

3350 Riverwood Pkwy SE
Ste 1900
Atlanta, GA 30339
Phone (404) 277-2167

11835 Queens Blvd
Ste 400
Forest Hills, NY 11375
Phone (646) 722-7610

1802 Petracca Pl
Ste 103
Whitestone, NY 11357
Phone (646) 722-7610

1650 Market St
Ste 3600
Philadelphia, PA 19103
Phone (484) 557-2367

5410 Maryland Way
Ste 400
Brentwood, TN 37027

5680 King Centre Dr
Ste 600
Kingstowne, VA 22315
Phone (703) 201-8558

919 E Main St
Ste 1000
Richmond, VA 23219
Phone (804) 729-6904

1253 Canyon Rd
Ste 15
Morgantown, WV 26508
Phone (304) 451-9116

Interoperability endpoints

  • Direct secure messaging: elena.parhomchuk.1@22854.direct.athenahealth.com

Organizations & group practices 8

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": "1568332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1366092264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639295",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452639295",
            "telephone_number": "248-266-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11835 QUEENS BLVD STE 400",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757211",
            "telephone_number": "248-266-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "841 Prudential Dr Ste 1900",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322078373",
            "country_code": "US",
            "telephone_number": "904-633-0920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARHOMCHUK",
        "first_name": "ELENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-13",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11002751",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "350303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.