Individual provider Active NPI

Dijana Duvall, APRN

  • Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1588097687
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3008192 Issued in KY
Practice address
2416 Regency Rd
Lexington, KY 40503-2954
Phone
(859) 278-1316
Fax
(859) 276-3847
NPI assigned
Aug 13, 2013
Last updated
Jul 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3008192 KY Primary

Addresses

Primary practice location

2416 Regency Rd
Lexington, KY 40503-2954

Mailing address

PO Box 737100
Chicago, IL 60673-6374
Phone (317) 706-7246

Other practice location 1

110 Hardin Ln Ste 4
Somerset, KY 42503-3818
Phone (317) 706-7246

Other practice location 2

2187 Lexington Rd Ste B1
Richmond, KY 40475-7919
Phone (317) 706-7246

Other identifiers 1

IdentifierTypeStateIssuer
7100274880MedicaidKY

Other names 1

  • Ms. Dijana Manojlovic Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20140430000241 KY Practitioner - Nurse Practitioner 7315170206 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Treatment Center of the Bluegrass PSCGroup PAC ID 2365937471, 13 clinicians
Ballard Wright, MD, PSCGroup PAC ID 8921990581, 15 clinicians

Practice addresses (Care Compare)

2416 Regency Rd
Lexington, KY 40503-2954
Phone (859) 278-1316

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ballard Wright, MD, PSC Nurse Practitioner CurrentSince Aug 14, 2017 Accepting new patients
Pain Treatment Center of the Bluegrass PSC Nurse Practitioner CurrentSince Nov 8, 2025 Accepting new patients

Locations

2416 Regency Rd
Lexington, KY 40503

280 Pasadena Dr
Lexington, KY 40503

Interoperability endpoints

  • Direct secure messaging: dijana.duvall.1@25134.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1588097687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 737100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606736374",
            "telephone_number": "317-706-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 REGENCY RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032954",
            "telephone_number": "859-278-1316",
            "fax_number": "859-276-3847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Hardin Ln Ste 4",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "KY",
            "postal_code": "425033818",
            "country_code": "US",
            "telephone_number": "317-706-7246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2187 Lexington Rd Ste B1",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "KY",
            "postal_code": "404757919",
            "country_code": "US",
            "telephone_number": "317-706-7246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUVALL",
        "first_name": "DIJANA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-13",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3008192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100274880",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIJANA",
            "last_name": "MANOJLOVIC",
            "prefix": "MS.",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.