Inta Davidyuk, FNP
NPI 1902577141 · Family Nurse Practitioner · Bolivar, MO
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Inta Davidyuk, FNP is a Family Nurse Practitioner provider in Bolivar, MO (NPI 1902577141).
Provider details
- NPI number
- 1902577141
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- 2021021667 (MO)
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 tenure28% of score
4 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
170 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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 does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 72 | $99 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 70 | $71 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 17 | $101 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 11 | $131 |
Typical Medicare-allowed amounts for these services range $71–$131 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 63 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 120 | 43 |
| Lisinopril | 118 | 39 |
| Levothyroxine Sodium | 97 | 26 |
| Losartan Potassium | 94 | 29 |
| Gabapentin | 86 | 22 |
| Omeprazole | 81 | 24 |
| Amlodipine Besylate |
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-09-27
- Last updated
- 2021-11-18
- Certified
- 2021-11-18
Frequently asked questions
- What is Inta Davidyuk's NPI number?
- Inta Davidyuk's National Provider Identifier (NPI) is 1902577141, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Inta Davidyuk's specialty?
- Inta Davidyuk is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Inta Davidyuk located?
- Inta Davidyuk's practice location on file with NPPES is 3817 S Springfield Ave Ste 140, Bolivar, MO 65613-9129.
- What is Inta Davidyuk's phone number?
- The practice phone number listed in the NPPES registry for Inta Davidyuk is (417) 422-4769.
- Does Inta Davidyuk accept Medicare?
- Inta Davidyuk is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Inta Davidyuk's NPI active?
- Yes — Inta Davidyuk's NPI (1902577141) is active in the NPPES registry as of the last update on 2021-11-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.