NPIMap

Individual provider Active NPI

Oksana Nesterenko, MD

  • General Practice Physician
  • Tacoma, WA
National Provider Identifier
1871229047
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MDCE.ML.61331468 Issued in WA
Practice address
3020 S Union Ave
Tacoma, WA 98409-3317
Phone
(253) 844-4327
NPI assigned
Jul 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MDCE.ML.61331468 WA
General Practice Physician 208D00000X MDCE.ML.61331468 WA Primary

Addresses

Primary practice location

3020 S Union Ave
Tacoma, WA 98409-3317

Mailing address

917 Pacific Ave Ste 600
Tacoma, WA 98402-4437
Phone (253) 844-4327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230327001467 WA Practitioner - General Practice 3577937960 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Platinum Peaks Healthcare PCGroup PAC ID 0648784157, 45 clinicians
Pacific Medical Specialty GroupGroup PAC ID 2365838364, 56 clinicians

Practice addresses (Care Compare)

3020 S Union Ave
Tacoma, WA 98409-3317
Phone (253) 844-4327

Hospital & facility affiliations

  • Providence at Home With Compassus Hospice Care, Puget Sound Hospice, Tukwila, WA, CCN 501515
  • Kline Galland Hospice Services Hospice, Seattle, WA, CCN 501540
  • Confluence Health Hospital Hospital, Wenatchee, WA, CCN 500016
  • Providence Mount St Vincent Nursing home, Seattle, WA, CCN 505182
  • The Terraces at Skyline Nursing home, Seattle, WA, CCN 505469
  • Avamere Rehabilitation of Issaquah Nursing home, Issaquah, WA, CCN 505004
  • Pine Ridge Post Acute Nursing home, Edmonds, WA, CCN 505527
  • North Bend Post Acute Nursing home, North Bend, WA, CCN 505339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MDCE.ML.61331468WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Medical Specialty Group CurrentSince Dec 20, 2022 Accepting new patients
Platinum Peaks Healthcare PC CurrentSince Aug 18, 2025 Accepting new patients
Fort Ebey Holdings LLC Past Accepting new patients
WCC Operator LLC Past Accepting new patients
Burien Operations, LLC Past Accepting new patients
Providence Health & Services Washington Past Accepting new patients
Middles Holdings LLC Past Accepting new patients
Issaquah Operations, LLC Past Accepting new patients
Wesley Homes Des Moines LLC Past Accepting new patients
Pine Ridge SNF Healthcare LLC Past Accepting new patients
Colonial Vista SNF Healthcare LLC Past Accepting new patients

Locations

3020 S Union Ave
Tacoma, WA 98409
Phone (253) 844-4327

917 Pacific Ave
Ste 600
Tacoma, WA 98402
Phone (253) 232-7495

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Providence Mount St VincentSeattle, WA, CCN 505182 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 6, 2024
Aug 6, 2024
North Bend Post AcuteNorth Bend, WA, CCN 505339 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 1, 2024
Jul 1, 2024
Avamere Rehabilitation of IssaquahIssaquah, WA, CCN 505004 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 8, 2022
Aug 8, 2022

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1871229047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 PACIFIC AVE STE 600",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024437",
            "telephone_number": "253-844-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 S UNION AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984093317",
            "telephone_number": "253-844-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESTERENKO",
        "first_name": "OKSANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-28",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MDCE.ML.61331468",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WA",
            "license": "MDCE.ML.61331468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.