Individual provider Active NPI

Tatjana Djukic, APNP

  • Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1720843907
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
14547-33 Issued in WI
Practice address
1945 Versailles St
Sarasota, FL 34239-6900
Phone
(941) 365-0770
Fax
(833) 974-1480
NPI assigned
Feb 16, 2024
Last updated
Jul 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 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 14547-33 WI Primary

Addresses

Primary practice location

1945 Versailles St
Sarasota, FL 34239-6900

Mailing address

1945 Versailles St
Sarasota, FL 34239-6900
Phone (941) 365-0770

Other identifiers 1

IdentifierTypeStateIssuer
1720843907MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tdjukic419357@Direct.leememorial.org Direct Lee Memorial Health System

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, FL2 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

Enrollment IDStateProvider typePAC IDDetails
I20240416000858 WI Practitioner - Nurse Practitioner 3678912268 Reassigns benefits to 1 organization
I20241017001290 FL Practitioner - Nurse Practitioner 3678912268 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Weitzner Yonker and Kaine MD PAGroup PAC ID 3072598655, 16 clinicians
Lee Health System IncGroup PAC ID 9335672146, 1,381 clinicians

Practice addresses (Care Compare)

1945 Versailles St
FL 2
Sarasota, FL 34239-6900
Phone 94136507701028

9981 S Healthpark Dr
Fort Myers, FL 33908-3618
Phone (239) 343-2606

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14547-33WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Memorial Health System CurrentSince Dec 2, 2024 Accepting new patients
Lee Memorial Health System CurrentSince Dec 2, 2024 Accepting new patients
Weitzner Yonker & Kaine MD PA CurrentSince Jul 24, 2022 Accepting new patients
Lee Health System Inc CurrentSince Nov 1, 2024 Accepting new patients
The Medical College of Wisconsin, Inc. CurrentSince May 1, 2024 Accepting new patients
Lee Health System Inc Nurse Practitioner CurrentSince Nov 1, 2024 Accepting new patients
Lee Memorial Health System Nurse Practitioner Current Accepting new patients

Locations

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

2441 Surfside Blvd
Ste 106
Cape Coral, FL 33914
Phone (239) 343-9633

2441 Surfside Blvd
Ste 200
Cape Coral, FL 33914
Phone (239) 541-7500

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030

9981 S Healthpark Dr
Fort Myers, FL 33908
Phone (239) 332-5344

930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520

1945 Versailles St
Sarasota, FL 34239
Phone (941) 365-0770

1945 Versailles St
Fl 2
Sarasota, FL 34239
Phone (941) 365-0770

10000 W Innovation Dr
Ste 300
Wauwatosa, WI 53226

1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: tdjukic419357@direct.leememorial.org

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1720843907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 VERSAILLES ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342396900",
            "telephone_number": "941-365-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 VERSAILLES ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342396900",
            "telephone_number": "941-365-0770",
            "fax_number": "833-974-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DJUKIC",
        "first_name": "TATJANA",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-16",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "14547-33",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720843907",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tdjukic419357@Direct.leememorial.org",
            "affiliation": "Y",
            "affiliationName": "Lee Memorial Health System",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2776 Cleveland Ave",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339015864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.