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

Vitaliy Pavlovich Kovdiy

Individual provider Nurse Practitioner · NPI 1013879162

Vitaliy Pavlovich Kovdiy is a Nurse Practitioner in Burnsville, Minnesota. Qualified in 2025, 1 year ago. Licensed in Minnesota and Washington.

Years since qualifying
1
Licensed in
MN, WA
In the registry since
2025
Specialties on file
2

Practice location Address checks out

13201 E Manor Blvd
Burnsville, MN 55337-2093
Phone: (952) 649-2735
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence ARNP.AP.70132652-NP (WA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 13629 (MN)

Record details

NPI number1013879162
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 26, 2025
Last updated in NPPESJune 3, 2026
Certification dateJune 3, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Burnsville