NEXT STEP FAMILY HEALTH NURSE PRACTITIONER PLLC
NPI 1063233856
Nurse Practitioner in Sauquoit, NY

Active since October 23, 2024CLIA 33D2315542 · Waiver
3136 ONEIDA ST, SAUQUOIT, NY 13456(315) 737-3522 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Next Step Family Health Nurse Practitioner Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEXT STEP FAMILY HEALTH NURSE PRACTITIONER PLLC (NPI 1063233856) is a healthcare organization registered as a nurse practitioner in Sauquoit, New York and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through December 15, 2026 and lists Anita Dervisevic, Owner, as its authorized official.

NPPES Registry Identity

NPI1063233856
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameNEXT STEP FAMILY HEALTH NURSE PRACTITIONER PLLC
Location Address3136 ONEIDA STSauquoit, NY 13456-2800
Mailing Address113 Wells DrUtica, NY 13502-1157 · (315) 939-0214 · Fax (315) 737-3522
Organization SubpartNo
Authorized OfficialAnita DervisevicOwner · (315) 939-0214
Enumeration DateOctober 23, 2024
NPPES CertifiedOctober 23, 2024
NPI 1063233856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3136 ONEIDA ST, Sauquoit, NY 13456

Other Identifiers 2

Medicaid07254653NY
Medicaid04961831NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2315542

Next Step Family Health Nurse Practitioner PLLC · Sauquoit, NY
Active · expires Dec 15, 2026
CLIA Number33D2315542
Laboratory TypePractitioner Other
Certificate Effective DateDecember 16, 2024
Certificate Expiration DateDecember 15, 2026
Laboratory DirectorAnita Dervisevic
Laboratory Phone(315) 737-3522
Laboratory LocationNext Step Family Health Nurse Practitioner PLLC3136 Oneida St, Sauquoit, NY 13456
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
3136 ONEIDA ST
SAUQUOIT, NY 13456
Nurse Practitioner (Pediatrics)
3136 ONEIDA ST
SAUQUOIT, NY 13456
Nurse Practitioner (Family)
3136 ONEIDA ST
SAUQUOIT, NY 13456
Pediatrics
3136 ONEIDA ST
SAUQUOIT, NY 13456

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Next Step Family Health Nurse Practitioner PLLC's NPI number?

The NPI number for Next Step Family Health Nurse Practitioner PLLC is 1063233856. It was assigned to this organization in the NPPES registry on October 23, 2024.

Where is Next Step Family Health Nurse Practitioner PLLC located?

Next Step Family Health Nurse Practitioner PLLC is located at 3136 Oneida St, Sauquoit, NY 13456. The listed phone number is (315) 737-3522.

What is Next Step Family Health Nurse Practitioner PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Next Step Family Health Nurse Practitioner PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2315542) is associated with this NPI, valid through December 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Next Step Family Health Nurse Practitioner PLLC was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.