Individual provider Active NPI

Elvira Machkovsky, FNP-C

  • Primary Care Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1497202915
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP142985 Issued in TX
Practice address
7920 Belt Line Rd Ste 120
Dallas, TX 75254-8148
Phone
(415) 710-7921
NPI assigned
Sep 1, 2016
Last updated
Nov 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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 95003865 CA
Primary Care Nurse Practitioner 363LP2300X AP142985 TX Primary

Addresses

Primary practice location

7920 Belt Line Rd Ste 120
Dallas, TX 75254-8148

Mailing address

2000 Sierra Road
Concord, CALIFORNIA 94518
UM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20210708000627 TX Practitioner - Nurse Practitioner 7012205271 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrative Pain Management Center PLLCGroup PAC ID 2062832108, 3 clinicians
Remed Medical Group PLLCGroup PAC ID 7810303534, 2 clinicians

Practice addresses (Care Compare)

7920 Belt Line Rd
Suite 120
Dallas, TX 75254-8148
Phone (214) 221-2588

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Pain Management Center PLLC CurrentSince Jun 14, 2021 Accepting new patients
Remed Medical Group PLLC CurrentSince Jun 14, 2021 Accepting new patients

Locations

7920 Belt Line Rd
Ste 120
Dallas, TX 75254
Phone (214) 221-2588

Organizations & group practices 2

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": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1497202915",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "2000 SIERRA ROAD",
            "city": "CONCORD",
            "state": "CALIFORNIA",
            "postal_code": "94518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7920 BELT LINE RD STE 120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752548148",
            "telephone_number": "415-710-7921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHKOVSKY",
        "first_name": "ELVIRA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95003865",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP142985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.