Mariya Tkachenko, CNP
NPI 1295565679ActiveIndividual· Nurse Practitioner, Family· Shakopee, MN
Nurse Practitioner, Family (CNP) with Park Nicollet Clinic, practicing in Shakopee, Minnesota. Mostly services rather than prescriptions: Medicare paid $1,581 for 11 patients in 2024, with only 38 Part D claims. Lists Park Nicollet Methodist Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1295565679 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CNP |
| Sole proprietor | No |
| NPI issued | Aug 1, 2024 |
| Last updated in NPPES | Sep 9, 2024 |
| Certified by provider | Sep 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 11902 | MN |
| Nurse Practitioner | 363L00000X | 11902 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 11 |
|---|---|
| Services billed | 41 across 16 procedure codes |
| Paid by Medicare | $1,581 |
Part D prescriptions in 2024
| Prescriptions (claims) | 38 · 73 30-day fills |
|---|---|
| Patients | 16 |
| Total drug cost | $2,180 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Park Nicollet ClinicSt Louis Park, MN · 1,787 clinicians
Hospital affiliations
- Park Nicollet Methodist HospitalSaint Louis Park, MN
- St Francis Regional Medical CenterShakopee, MN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 19 family nurse practitioners in Shakopee · All family nurse practitioners in Minnesota