Individual provider Active NPI

Samra Markisic, NP

  • Acute Care Nurse Practitioner
  • Glendale, NY
National Provider Identifier
1518445972
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
431362 Issued in NY
Practice address
6817 Myrtle Ave
Glendale, NY 11385-7267
Phone
(718) 873-1444
Fax
(718) 689-7365
NPI assigned
Jul 29, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 431362 NY Primary

Addresses

Primary practice location

6817 Myrtle Ave
Glendale, NY 11385-7267

Mailing address

6 Coniston CT
Wayne, NJ 07470-2482
Phone (917) 815-4275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
431362NYMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Markisic Health Wellness NP in Acute Care PC Acute Care CurrentSince Jun 9, 2026 Accepting new patients

Locations

6817 Myrtle Ave
Glendale, NY 11385
Phone (718) 873-1444

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.

NPI Registry JSON

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

{
    "created_epoch": "1532822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1518445972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CONISTON CT",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702482",
            "telephone_number": "917-815-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6817 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857267",
            "telephone_number": "718-873-1444",
            "fax_number": "718-689-7365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKISIC",
        "first_name": "SAMRA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-29",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "431362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, NY

Sources for this page

Verify at the official NPI Registry.