Renat Khasanov, MSN, PMHNP-BC, RN
NPI 1174251318 · Psychiatric/Mental Health Nurse Practitioner · Glen Oaks, NY
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Renat Khasanov, MSN, PMHNP-BC, RN is a Psychiatric/Mental Health Nurse Practitioner provider in Glen Oaks, NY (NPI 1174251318).
Provider details
- NPI number
- 1174251318
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MSN, PMHNP-BC, RN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 404349 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 451 Clarkson AveBrooklyn, NY 11203-2054Phone: (917) 969-6012
Registry dates
- Enumerated
- 2022-08-14
- Last updated
- 2022-09-23
- Certified
- 2022-09-23
Frequently asked questions
- What is Renat Khasanov's NPI number?
- Renat Khasanov's National Provider Identifier (NPI) is 1174251318, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Renat Khasanov's specialty?
- Renat Khasanov is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Renat Khasanov located?
- Renat Khasanov's practice location on file with NPPES is 75-59 263rd Street, Glen Oaks, NY 11004-1100.
- What is Renat Khasanov's phone number?
- The practice phone number listed in the NPPES registry for Renat Khasanov is (718) 470-5750.
- Does Renat Khasanov accept Medicare?
- Renat Khasanov is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Renat Khasanov's NPI active?
- Yes — Renat Khasanov's NPI (1174251318) is active in the NPPES registry as of the last update on 2022-09-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.