Individual provider Active NPI

Dragana Vujic Kljaic, AGACNP

  • Gerontology Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1346738986
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP137105 Issued in TX
Practice address
1902 Windsor PL Ste 102
Fort Worth, TX 76110-1866
Phone
(682) 207-1700
Fax
(682) 250-5246
NPI assigned
Apr 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP137105 TX
Acute Care Nurse Practitioner 363LA2100X AP137105 TX
Gerontology Nurse Practitioner 363LG0600X AP137105 TX Primary

Addresses

Primary practice location

1902 Windsor PL Ste 102
Fort Worth, TX 76110-1866

Mailing address

1902 Windsor PL Ste 102
Fort Worth, TX 76110-1866
Phone (682) 207-1700

Other practice location 1

4400 New York Ave
Arlington, TX 76018-4817
Phone (817) 702-8500

Other practice location 2

1500 S Main St
Fort Worth, TX 76104-4917
Phone (817) 702-1451

Other identifiers 1

IdentifierTypeStateIssuer
387362201MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dkljaic12221@direct.acumenmd.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20230309000058 TX Practitioner - Nurse Practitioner 4486903978 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acclaim Physician Group IncGroup PAC ID 4587963582, 520 clinicians

Practice addresses (Care Compare)

1500 S Main St
FL 2
Fort Worth, TX 76104-4917
Phone (817) 702-3000

Hospital & facility affiliations

  • JPS Health Network Hospital, Fort Worth, TX, CCN 450039

Merit-based Incentive Payment System (MIPS)

Final score
96.38 of 100Reported as group
Quality
80.41
Promoting interoperability
100
Improvement activities
40
Cost
78.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP137105TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Post Acute Specialists of Texas PA Nurse Practitioner CurrentSince Apr 1, 2023 Accepting new patients
Acclaim Physician Group, Inc CurrentSince Feb 21, 2023 Accepting new patients

Locations

4400 New York Ave
Arlington, TX 76018
Phone (817) 702-8500

2911 Medical Arts St
Ste 10
Austin, TX 78705
Phone (512) 474-5551

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

1500 S Main St
Fl 2
Ft Worth, TX 76104
Phone (817) 702-3000

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

307 W Cypress St
San Antonio, TX 78212
Phone (210) 223-5521

Organizations & group practices 2

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 1

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": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1346738986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 WINDSOR PL STE 102",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101866",
            "telephone_number": "682-207-1700",
            "fax_number": "682-250-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 WINDSOR PL STE 102",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101866",
            "telephone_number": "682-207-1700",
            "fax_number": "682-250-5246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4400 New York Ave",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760184817",
            "country_code": "US",
            "telephone_number": "817-702-8500",
            "fax_number": "817-702-8530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 S Main St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761044917",
            "country_code": "US",
            "telephone_number": "817-702-1451",
            "fax_number": "817-702-6838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLJAIC",
        "first_name": "DRAGANA",
        "middle_name": "VUJIC",
        "name_prefix": "Mrs.",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-30",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP137105",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP137105",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP137105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "387362201",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dkljaic12221@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "1902 Windsor Pl Ste 102",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761101866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.