Active NPI
Suzana Draginis, FPA-APRN, AGNP,IFMCP
- Adult Health Nurse Practitioner
- Lake Forest, IL
National Provider Identifier
1730724451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 277.003847
- Practice address
- 825 S Waukegan Rd
Lake Forest, IL 60045-2696 - Phone
- (815) 405-7137
- Fax
- (833) 800-0135
- NPI assigned
- Nov 18, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 277.003847 | IL | Primary |
Addresses
Primary practice location
825 S Waukegan Rd
Lake Forest, IL 60045-2696
Mailing address
825 S Waukegan Rd Ste A8
Lake Forest, IL 60045-2665
Phone (815) 405-7137
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 277.003847 | Other | IL | STATE OF ILLINOIS FULL PRACTICE AUTHORITY |
Other names 1
- Suzana Nikitovic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 277.003847 | IL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alan Tony Amberg PLLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/21991/brand/1/csg/1/fhir/r4
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.
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- NPI 1922767573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742428800000",
"number": "1730724451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 S WAUKEGAN RD STE A8",
"city": "LAKE FOREST",
"state": "IL",
"postal_code": "600452665",
"telephone_number": "815-405-7137",
"fax_number": "833-800-0135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 S WAUKEGAN RD",
"city": "LAKE FOREST",
"state": "IL",
"postal_code": "600452696",
"telephone_number": "815-405-7137",
"fax_number": "833-800-0135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAGINIS",
"first_name": "SUZANA",
"credential": "FPA-APRN, AGNP,IFMCP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-18",
"last_updated": "2025-03-20",
"certification_date": "2025-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IL",
"license": "277.003847",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF ILLINOIS FULL PRACTICE AUTHORITY",
"identifier": "277.003847",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUZANA",
"last_name": "NIKITOVIC",
"credential": "FPA-APRN, AGNP-C",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Lake Forest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.