Individual provider Active NPI

Ulyana Nepokulchytska, MHS, PA-C

  • Physician Assistant
  • Elmhurst, IL
National Provider Identifier
1366974891
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.006137 Issued in IL
Practice address
386 N York St Ste 100
Elmhurst, IL 60126-2365
Phone
(630) 834-1557
Fax
(630) 834-3461
NPI assigned
Apr 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085.006137 IL Primary

Addresses

Primary practice location

386 N York St Ste 100
Elmhurst, IL 60126-2365

Mailing address

4N213 Central Ave
Bensenville, IL 60106-2701
Phone (224) 805-7532

Other practice location 1

1460 Bond St Ste 130
Naperville, IL 60563-6510
Phone (630) 859-0120

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085.006137ILMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1366974891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4N213 CENTRAL AVE",
            "city": "BENSENVILLE",
            "state": "IL",
            "postal_code": "601062701",
            "telephone_number": "224-805-7532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 N YORK ST STE 100",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262365",
            "telephone_number": "630-834-1557",
            "fax_number": "630-834-3461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1460 Bond St Ste 130",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605636510",
            "country_code": "US",
            "telephone_number": "630-859-0120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEPOKULCHYTSKA",
        "first_name": "ULYANA",
        "credential": "MHS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.006137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.