Jelena Ozegovic, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71007841A Issued in IN

Practice address

275 Joliet St Ste 225
Dyer, IN 46311-1789

Phone

(219) 865-8800

Fax

(219) 865-8908

NPI assigned

Mar 8, 2018

Sex

Female

Sole proprietor

Yes

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 IN, IL2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pinnacle Dermatology SCGroup PAC ID 8628353380, 145 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Hospital Hospital, Munster, IN, CCN 150125

Merit-based Incentive Payment System (MIPS)

Final score

89.8 of 100Reported as group

Promoting interoperability

88

Improvement activities

40

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 and National Provider Directory roles.

• Pinnacle Dermatology, SC

  • Dermatology Physician
  • Joliet, IL
  • NPI 1861930984

  IN, Single Specialty

  Medicare reassignment Care Compare group NPD
• Applegarth Dermatology PC

  • Medical Physician Assistant
  • Valparaiso, IN
  • NPI 1982096822

  Single Specialty

  NPD (past)
• Dermatology and Plastic Surgery Associates, S.C.

  • Procedural Dermatology Physician
  • Joliet, IL
  • NPI 1700987328

  Single Specialty

  NPD (past)

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

• Munster Medical Research Foundation Inc

  • General Acute Care Hospital
  • Munster, IN
  • NPI 1003918210
  Care Compare affiliation

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1346743077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 STURDY RD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463838017",
            "telephone_number": "219-548-0360",
            "fax_number": "219-548-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 JOLIET ST STE 225",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111789",
            "telephone_number": "219-865-8800",
            "fax_number": "219-865-8908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3444 Monroe St",
            "address_purpose": "LOCATION",
            "city": "LA Porte",
            "state": "IN",
            "postal_code": "463506185",
            "country_code": "US",
            "telephone_number": "219-362-0161",
            "fax_number": "219-324-2535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 Lafayette Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Crawfordsville",
            "state": "IN",
            "postal_code": "479331032",
            "country_code": "US",
            "telephone_number": "765-362-1212",
            "fax_number": "765-361-0210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1861 Sturdy Rd",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463838017",
            "country_code": "US",
            "telephone_number": "219-548-0360",
            "fax_number": "219-548-0358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1703 Calumet Ave",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463833128",
            "country_code": "US",
            "telephone_number": "219-242-8415",
            "fax_number": "815-744-3969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OZEGOVIC",
        "first_name": "JELENA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-08",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71007841A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah R Opat, SLP
• Joseph Richard Ornelas, D.D.S
• Jenna Oster
• Carol Marie Ostrowski, PTA
• Carolyn Louise Owens, PSY.D.
• Tara Ramesh Pai, MSPT
• Ritesh Panwar, MD
• Esther K Park, PHARMD
• Sharon Parker, MSW, LCAC
• Katelyn Pass

• Family Nurse Practitioner in Dyer, IN
• Providers in Dyer, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.