Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Inessa Inoyatova

Individual provider Adult Health Nurse Practitioner · NPI 1649986068

Inessa Inoyatova is a Nurse Practitioner in Glendale, New York. Qualified in 2021, 5 years ago. Practices with Prominis Medical Services PC, a 42-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2023

Practice location Address checks out

6451 Central Ave
Glendale, NY 11385-6258
Phone: (718) 456-0960
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 310496 (NY)

Record details

NPI number1649986068
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 30, 2023
Last updated in NPPESDecember 22, 2024
Certification dateDecember 22, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Prominis Medical Services Pc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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