Tatiana Mudrenko, PA
NPI 1417513490 · Surgical Physician Assistant · Roseville, CA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tatiana Mudrenko, PA is a Surgical Physician Assistant provider in Roseville, CA (NPI 1417513490).
Provider details
- NPI number
- 1417513490
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
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
7 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 10 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Estradiol | 129 | 96 |
| Trospium Chloride | 73 | 41 |
| Methenamine Hippurate | 52 | 15 |
| Mirabegronbrand: Myrbetriq | 49 | 11 |
| Metronidazolebrand: Vandazole | 48 | 23 |
| Nitrofurantoin Monohyd/M-Crystbrand: Nitrofurantoin Mono-Macro | 34 | 25 |
| Mirabegronbrand: Mirabegron Er | 23 | — |
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-05-15
- Last updated
- 2022-01-11
Frequently asked questions
- What is Tatiana Mudrenko's NPI number?
- Tatiana Mudrenko's National Provider Identifier (NPI) is 1417513490, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tatiana Mudrenko's specialty?
- Tatiana Mudrenko is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Tatiana Mudrenko located?
- Tatiana Mudrenko's practice location on file with NPPES is 1600 Eureka Rd, Roseville, CA 95661-3027.
- What is Tatiana Mudrenko's phone number?
- The practice phone number listed in the NPPES registry for Tatiana Mudrenko is (877) 457-4772.
- Does Tatiana Mudrenko accept Medicare?
- Tatiana Mudrenko is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tatiana Mudrenko's NPI active?
- Yes — Tatiana Mudrenko's NPI (1417513490) is active in the NPPES registry as of the last update on 2022-01-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.