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

Stephanie Pyatkovskiy, NP

Individual provider Family Nurse Practitioner · NPI 1457012221

Stephanie Pyatkovskiy, NP is a Nurse Practitioner in Moorpark, California. Qualified in 2020, 6 years ago. Practices with County of Ventura, a 274-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2022
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

612 Spring Rd Bldg A
Moorpark, CA 93021-1298
Phone: (805) 523-5400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95015467 (CA)

Record details

NPI number1457012221
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJanuary 4, 2022
Last updated in NPPESAugust 8, 2024
Certification dateAugust 8, 2024
Mailing address800 S #L4640, Ventura, CA 93009-0001

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice County Of Ventura — 274 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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