Individual provider Active NPI

Svitlana S Nesterenko, AGPC-NP

  • Gerontology Nurse Practitioner
  • Littleton, CO
National Provider Identifier
1891586004
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
RXN.0109756-NP Issued in CO
Practice address
801 W Mineral Ave Ste 204
Littleton, CO 80120-5663
Phone
(303) 815-5133
NPI assigned
May 15, 2025
Last updated
May 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X RXN.0109756-NP CO Primary

Addresses

Primary practice location

801 W Mineral Ave Ste 204
Littleton, CO 80120-5663

Mailing address

4161 S Fraser CT Apt G
Aurora, CO 80014-4180
Phone (720) 472-1934

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20250825003629 CO Practitioner - Nurse Practitioner 7618477431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4161 S Fraser CT
Apt G
Aurora, CO 80014-4180

4680 Polaris Ave
Suite 200
Las Vegas, NV 89103-5600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RXN.0109756-NPCOMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
All Seasons Health CurrentSince Aug 1, 2025 Accepting new patients
Nesterenko Health LLC Gerontology PastSince May 18, 2025 Accepting new patients

Locations

801 W Mineral Ave
Ste 204
Littleton, CO 80120
Phone (303) 815-5133

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": "1747267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1891586004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4161 S FRASER CT APT G",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800144180",
            "telephone_number": "720-472-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W MINERAL AVE STE 204",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205663",
            "telephone_number": "303-815-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESTERENKO",
        "first_name": "SVITLANA",
        "middle_name": "S",
        "credential": "AGPC-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CO",
            "license": "RXN.0109756-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.