MIRSADA NURKANOVIC (DNP, FNP) – Family Nurse Practitioner, NPI 1831685767

MIRSADA NURKANOVIC (DNP, FNP) is a healthcare provider. based in Jericho, Vermont. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, FNP. They hold a License No. 101.0134173 (VT). The NPI Number for MIRSADA NURKANOVIC (DNP, FNP) is 1831685767

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MIRSADA NURKANOVIC (DNP, FNP)
NPI
1831685767
Phone
(802) 999-9343
Address
22 BROOKSIDE DR
Enumeration Date
3 July 2018
Last Update Date
3 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8028788131
Graduation Year
2018 (8 years ago)
PAC ID
2860743846
Group Practice PAC ID
7012813322
Professional Enrollment ID
I20181002000895
Address ID
VT054957103WI586XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

721 NURSE PRACTITIONER in VT

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Provider Addresses for MIRSADA NURKANOVIC (DNP, FNP)

  • 22, Brookside Drive, Riverside, Jericho, Chittenden County, Vermont, 05465, United States

    JERICHO, VT 054652064

    Phone: (802) 999-9343

    Type: Mailing

  • Thomas Chittenden Health Center, 586, Oak Hill Road, Williston, Chittenden County, Vermont, 05495, United States

    WILLISTON, VT 054957103

    Phone: (802) 878-8131

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-10-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181002000895INurse PractitionerVTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample222102$0
99214Established patient office or other outpatient visit, 30-39 minutes217129$0
99213Established patient office or other outpatient visit, 20-29 minutes15293$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count11670$0
80053Blood test, comprehensive group of blood chemicals10360$0
View full utilization report →

Insurance plans in this area (ZIP 05465)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012813322View full group profile
NameSpecialtyState
Family PracticeVT
Nurse PractitionerVT
Nurse PractitionerVT
Family PracticeVT
Family PracticeVT
Physician AssistantNJ
-VT
Nurse PractitionerCA
Nurse PractitionerVT
Nurse PractitionerVT

Reviews

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Frequently asked questions

What federal number belongs to MIRSADA NURKANOVIC (DNP, FNP)?
The federal identifier for MIRSADA NURKANOVIC (DNP, FNP) is NPI 1831685767.
Is MIRSADA NURKANOVIC (DNP, FNP)'s NPI currently valid?
The extract we use shows MIRSADA NURKANOVIC (DNP, FNP) as active.
What kind of provider is MIRSADA NURKANOVIC (DNP, FNP)?
The page reflects Family Nurse Practitioner for MIRSADA NURKANOVIC (DNP, FNP). Clinical services aligned with this taxonomy classification.
What location shows for MIRSADA NURKANOVIC (DNP, FNP)?
We surface Jericho, Vermont for MIRSADA NURKANOVIC (DNP, FNP) based on available NPPES addresses.
What if Jericho, Vermont seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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