Irina Khakhanov
NPI 1417617002 · Family Nurse Practitioner · Phoenix, AZ
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Irina Khakhanov is a Family Nurse Practitioner provider in Phoenix, AZ (NPI 1417617002).
Provider details
- NPI number
- 1417617002
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- F11210467 (AZ)
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 tenure33% of score
4 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$18 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-12-22
- Last updated
- 2021-12-22
- Certified
- 2021-12-22
Frequently asked questions
- What is Irina Khakhanov's NPI number?
- Irina Khakhanov's National Provider Identifier (NPI) is 1417617002, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Irina Khakhanov's specialty?
- Irina Khakhanov is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Irina Khakhanov located?
- Irina Khakhanov's practice location on file with NPPES is 5777 E Mayo Blvd, Phoenix, AZ 85054-4502.
- What is Irina Khakhanov's phone number?
- The practice phone number listed in the NPPES registry for Irina Khakhanov is (646) 249-5910.
- Does Irina Khakhanov accept Medicare?
- Irina Khakhanov is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Irina Khakhanov's NPI active?
- Yes — Irina Khakhanov's NPI (1417617002) is active in the NPPES registry as of the last update on 2021-12-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.