Dijana Ahmetasevic, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F352342-01 Issued in NY

Practice address

555 French Rd
Utica, NY 13502

Phone

(315) 735-3541

Fax

(315) 724-3255

NPI assigned

Jul 7, 2023

Last updated

Aug 2, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

State University of Ny Upstate Medical University, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mohawk Valley Nephrology Associates LLPGroup PAC ID 8921074717, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Mohawk Valley Nephrology Associates, LLP

  dba Mohawk Valley Nephrology Associates

  • Nephrology Physician
  • Utica, NY
  • NPI 1548287329
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1265110506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 FRENCH RD STE 103",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134131070",
            "telephone_number": "315-735-3541",
            "fax_number": "315-724-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 FRENCH RD",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "13502",
            "telephone_number": "315-735-3541",
            "fax_number": "315-724-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMETASEVIC",
        "first_name": "DIJANA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F352342-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Physical Medicine & Rehabilitation LLC (Spinal & Skeletal Pain Medicine)
• Barbara Agans-Sweeney, PA
• Bajrang L Agarwal, MD
• Jon Agricola
• Sana Ahmad Din, MD
• Douglas Ahn, M.D.
• Waqar Ahsan, DO
• Nasreen Akhtar, MD
• Natalya Akhtyrsky, FNP
• Tolulope F Akinshola, DO

• Nurse Practitioner in Utica, NY
• Providers in Utica, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.