NPIMap

Individual provider Active NPI

Billie Radovic, NP

  • Adult Health Nurse Practitioner
  • Sleepy Hollow, NY
National Provider Identifier
1023565835
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
307780 Issued in NY
Practice address
755 N Broadway Ste 100
Sleepy Hollow, NY 10591-1076
Phone
(914) 366-3677
Fax
(914) 366-1459
NPI assigned
Sep 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 307780 NY Primary

Addresses

Primary practice location

755 N Broadway Ste 100
Sleepy Hollow, NY 10591-1076

Mailing address

755 N Broadway
Sleepy Hollow, NY 10591-1075
Phone (914) 366-3677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170908002518 NY Practitioner - Nurse Practitioner 6406129634 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Arizona College of Medicine, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

27005 75TH Ave
New Hyde Park, NY 11040-1402
Phone (718) 470-7000

527 Route 22
Suite 209
Pawling, NY 12564-1200
Phone (845) 287-4153

Hospital & facility affiliations

  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • Archcare at Home Home health agency, Valhalla, NY, CCN 337140
  • North Shore Home Care Chha Home health agency, Westbury, NY, CCN 337148
  • Phelps Hospital Hospital, Sleepy Hollow, NY, CCN 330261
  • Northern Westchester Hospital Hospital, Mount Kisco, NY, CCN 330162

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Jul 8, 2017 Accepting new patients
Radovic NP in Adult Health PLLC Adult Health CurrentSince Nov 16, 2022 Accepting new patients
Phelps Medical Services, PC Past Accepting new patients

Locations

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

27005 76th Ave
North New Hyde Pk, NY 11040

527 Route 22
Ste 209
Pawling, NY 12564
Phone (845) 287-4153

300 Community Dr
Plandome, NY 11030

755 N Broadway
Ste 100
Sleepy Hollow, NY 10591
Phone (914) 366-3677

755 N Broadway
Ste 417
Sleepy Hollow, NY 10591
Phone (914) 366-5330

755 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 302-0100

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: bradovic60867@northwell.direct-ci.com
  • Direct secure messaging: billie.radovic.1@26130.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1023565835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 N BROADWAY",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105911075",
            "telephone_number": "914-366-3677",
            "fax_number": "914-366-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 N BROADWAY STE 100",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105911076",
            "telephone_number": "914-366-3677",
            "fax_number": "914-366-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADOVIC",
        "first_name": "BILLIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-09",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "307780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sleepy Hollow, NY

Sources for this page

Verify at the official NPI Registry.