Mirsada Nurkanovic, DNP, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

101.0134173 Issued in VT

Practice address

586 Oak Hill Rd
Williston, VT 05495-7103

Phone

(802) 878-8131

NPI assigned

Jul 3, 2018

Last updated

Jul 3, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mirsada Ibrahimovic Former name

Medicare fee-for-service enrollment

Enrolled in VT

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Thomas Chittenden Health Center, PLCGroup PAC ID 7012813322, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uvmhn Home Health and Hospice Home health agency, Colchester, VT, CCN 477000
• Bayada Home Health Care, Inc. Home health agency, Rutland, VT, CCN 477019
• Univ. of Vermont - Fletcher Allen Health Care Hospital, Burlington, VT, CCN 470003

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mirsadanurkanovic@tchc.medentdirect.com

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.

• Thomas Chittenden Health Center, PLC

  • Family Medicine Physician
  • Williston, VT
  • NPI 1811099229
  Medicare reassignment Care Compare group NPD
• Thomas Chittenden Health Center

  • Family Medicine Physician
  • Williston, VT
  • NPI 1710053004
  NPD (past)

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

• Bayada Home Health Care, Inc.

  • Home Health Agency
  • White River Junction, VT
  • NPI 1063963148
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Williston, VT
  • NPI 1114229937
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Rutland, VT
  • NPI 1861794687
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Brattleboro, VT
  • NPI 1891097614
  Care Compare affiliation
• The University of Vermont Health Network Home Health & Hospice, Inc.

  dba UVMHN Home Health and Hospice

  • Home Health Agency
  • Colchester, VT
  • NPI 1851343586
  Care Compare affiliation
• University of Vermont Medical Center Inc

  • General Acute Care Hospital
  • Burlington, VT
  • NPI 1568419976
  Care Compare affiliation

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

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530576000000",
    "number": "1831685767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 BROOKSIDE DR",
            "city": "JERICHO",
            "state": "VT",
            "postal_code": "054652064",
            "telephone_number": "802-999-9343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "586 OAK HILL RD",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054957103",
            "telephone_number": "802-878-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NURKANOVIC",
        "first_name": "MIRSADA",
        "credential": "DNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-03",
        "last_updated": "2018-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0134173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRSADA",
            "last_name": "IBRAHIMOVIC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nancy Nguon, ATC, CPT
• Krista Roxann Nickerson, CNM
• Maria C Nolan
• Zachary Nollet, PA-C
• Deana Marie Novembrino, MS, RD, CD
• Casey M O'Brien, PA-C
• Rachel D. Oblak, MA
• Michelle Obrien, PT
• Onebreath Vermont PLLC
• Optum Behavioral Care of Delaware, Inc.

• Family Nurse Practitioner in Williston, VT
• Providers in Williston, VT by specialty
• Family Nurse Practitioner in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; 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.