ELENA MADELYN PAVLENKOV RN A-GNP-C NPI 1801670526

NPI Information

  • NPI: 1801670526
  • Provider Name: ELENA MADELYN PAVLENKOV, RN, A-GNP-C
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 98 BINNEY ST
    BOSTON, MA
    ZIP 02115
  • Phone: (617) 632-7500

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NPI Details

Elena Madelyn Pavlenkov, RN, A-GNP-C is an adult health nurse practitioner in Boston, MA with 3 years of experience. Elena Madelyn Pavlenkov, RN, A-GNP-C NPI is 1801670526. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

98 BINNEY ST
BOSTON, MA
ZIP 02115-708
Phone: (617) 632-7500
Fax: (617) 632-7522

The NPI 1801670526 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/23/2023 and was last updated on 12/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseRN2339996MASSACHUSETTSNo
2363LG0600XNurse PractitionerGerontologyRN2339996MASSACHUSETTSNo
3363LA2200XNurse PractitionerAdult HealthRN2339996MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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