Edin Abdagic, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

209015952 Issued in IL

Practice address

343 Elm St Ste 201
Reno, NV 89503-4538

Phone

(702) 690-1633

NPI assigned

Sep 29, 2013

Last updated

May 2, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL, NV2 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

Practice addresses (Care Compare)

Hospital & facility affiliations

• Renown Regional Medical Center Hospital, Reno, NV, CCN 290001

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

• Revenge Medical Inc

  • Specialist
  • Reno, NV
  • NPI 1942921200
  Medicare reassignment NPD Authorized official
• Revenge Medical Inc

  • Durable Medical Equipment & Medical Supplies
  • Reno, NV
  • NPI 1629776737
  NPD Authorized official
• Comprehensive Men and Women's Health

  • Specialist
  • Reno, NV
  • NPI 1245974237
  Authorized official Same address or phone

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

• Renown Regional Medical Center

  • General Acute Care Hospital
  • Reno, NV
  • NPI 1124098421
  Care Compare affiliation
• Renown Regional Medical Center

  • General Acute Care Hospital
  • Sparks, NV
  • NPI 1932517299
  Care Compare affiliation

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

{
    "created_epoch": "1380412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1679900195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 ELM ST STE 201",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034538",
            "telephone_number": "702-690-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 ELM ST STE 201",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034538",
            "telephone_number": "702-690-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDAGIC",
        "first_name": "EDIN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-29",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209015952",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041371933",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS",
            "identifier": "821574",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Rae Abbott, MD
• Lisa G Abbott, MD
• Abboud Midtown Reno Smiles Dentistry, PC
• Shirin Abboud
• Abc Home Medical Supply Inc
• Jelena Abdagic, DMD
• Hamdi Abduljalil
• Shane Abdunnur, MD
• Abe L Bodies Corporation
• Janeen Lou Abe, PHARMD

• Adult Health Nurse Practitioner in Reno, NV
• Providers in Reno, NV by specialty
• Adult Health Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.

Verify at the official NPI Registry.