Katarina Mijic-Barisic, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024189029 Issued in VA

Practice address

1400 Sunset LN Ste 4230
Culpeper, VA 22701-3300

Phone

(216) 924-8879

NPI assigned

Sep 18, 2023

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

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.

Opted out of Medicare

Yes, effective Apr 6, 2024 through Apr 6, 2028

Medicare enrollment (NPD)

Not enrolled

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.

• KMB Mental Health Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Vienna, VA
  • NPI 1629830344
  NPD Authorized official

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1679351902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 WESTBRANCH DR APT 713",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 SUNSET LN STE 4230",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227013300",
            "telephone_number": "216-924-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIJIC-BARISIC",
        "first_name": "KATARINA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024189029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Med Spa of Virginia, Inc.
• Medexpress Urgent Care, PC - Virginia
• Amanda Michael Mewhorter, LPC
• Matthew P Mewhorter
• Mfa Xvi & Xxiv
• Colton Miles
• Natasha Miles
• Henry Miller, DO
• Kee Ashby Miller, PT
• Christina P. Mills, DDS

• Psychiatric/Mental Health Nurse Practitioner in Culpeper, VA
• Providers in Culpeper, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.