Individual provider Active NPI

Inna Pavlovna Zelikman, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Eugene, OR
National Provider Identifier
1740585314
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP13558 Issued in CA
Practice address
1725 Pearl St
Eugene, OR 97401-4118
Phone
(415) 902-9076
Fax
(458) 320-0023
NPI assigned
Jan 12, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP13558 CA Primary
Adult Health Nurse Practitioner 363LA2200X 13558 CA

Addresses

Primary practice location

1725 Pearl St
Eugene, OR 97401-4118

Mailing address

1725 Pearl St
Eugene, OR 97401-4118
Phone (415) 902-9076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20150605002603 CA Practitioner - Nurse Practitioner 8729309414 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22032CAMDFamily Medicine Physician
13558CAMDSpeech-Language Pathologist
NP13558CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Siyan Clinical Corporation CurrentSince Apr 1, 2015 Accepting new patients

Locations

1260 N Dutton Ave
Ste 275
Santa Rosa, CA 95401
Phone (707) 206-7268

480 Tesconi Cir
Ste B
Santa Rosa, CA 95401
Phone (707) 206-7268

Interoperability endpoints

  • Direct secure messaging: inna.zelikman@32975023702020.direct.elationemr.com

Organizations & group practices 1

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": "1294790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1740585314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 PEARL ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014118",
            "telephone_number": "415-902-9076",
            "fax_number": "458-320-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 PEARL ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014118",
            "telephone_number": "415-902-9076",
            "fax_number": "458-320-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELIKMAN",
        "first_name": "INNA",
        "middle_name": "PAVLOVNA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-12",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NP13558",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "13558",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.