Active NPI
Damir Mujic, NP
- Family Nurse Practitioner
- York, PA
National Provider Identifier
1356774202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP017530
- Practice address
- 2200 S George St Ste E-2
York, PA 17403-4594 - Phone
- (317) 601-4168
- NPI assigned
- Aug 14, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71004563B | IN | |
| Family Nurse Practitioner | 363LF0000X | 71004563A | IN | |
| Family Nurse Practitioner | 363LF0000X | SP017530 | PA | Primary |
Addresses
Primary practice location
2200 S George St Ste E-2
York, PA 17403-4594
Mailing address
2200 S George St Ste E-2
York, PA 17403-4594
Phone (317) 601-4168
Other practice location 1
3400 Lafayette Rd
Suite 200
Indianapolis, IN 46222-1146
Phone (317) 291-7422 ext. 1204
Other practice location 2
3400 Lafayette Rd
Suite 200
Indianapolis, IN 46222-1146
Phone (317) 291-7422 ext. 1204
Other practice location 3
25 Monument Rd Ste 210
York, PA 17403-5049
Phone (717) 852-7766
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2200 S George St
Suite E 2
York, PA 17403-4594
Phone (717) 515-5532
Hospital & facility affiliations
- Wellspan Vna Home Care
- Wellspan York Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71004563B | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Our Care, LLC | Current | Accepting new patients |
Locations
2200 S George St
Ste E2
York, PA 17403
Phone (317) 601-4168
Interoperability endpoints
- damir.mujic@605147970011140.direct.elationemr.com
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- York, PA
- NPI 1467196576
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- York, PA
- NPI 1437172301
-
- General Acute Care Hospital
- York, PA
- NPI 1326060492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650758400000",
"number": "1356774202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 S GEORGE ST STE E-2",
"city": "YORK",
"state": "PA",
"postal_code": "174034594",
"telephone_number": "317-601-4168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 S GEORGE ST STE E-2",
"city": "YORK",
"state": "PA",
"postal_code": "174034594",
"telephone_number": "317-601-4168"
}
],
"practiceLocations": [
{
"address_1": "3400 Lafayette Rd",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462221146",
"country_code": "US",
"telephone_number": "317-291-7422 x1204",
"fax_number": "317-291-7433",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3400 Lafayette Rd",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462221146",
"country_code": "US",
"telephone_number": "317-291-7422 x1204",
"fax_number": "317-291-7433",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "25 Monument Rd Ste 210",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174035049",
"country_code": "US",
"telephone_number": "717-852-7766",
"fax_number": "717-852-7862",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUJIC",
"first_name": "DAMIR",
"name_prefix": "Dr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-14",
"last_updated": "2022-04-24",
"certification_date": "2022-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71004563B",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71004563A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP017530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2022; 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.