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SEJLA GROSONJA FNP
NPI 1124689948
Nurse Practitioner - Family in New Hartford, NY

Active since June 24, 2019PECOS EnrolledAccepts Medicare Assignment
1729 BURRSTONE RD, NEW HARTFORD, NY 13413(315) 798-1597(315) 798-1570 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sejla Grosonja Fnp NPPES

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

SEJLA GROSONJA FNP (NPI 1124689948) is an individual family provider in New Hartford, New York, licensed in New York (344573) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1124689948
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSEJLA GROSONJACredential: FNP
Location Address1729 BURRSTONE RDNew Hartford, NY 13413-1001
Mailing Address1729 Burrstone RdNew Hartford, NY 13413-1001 · (315) 798-1597 · Fax (315) 798-1570
Phone(315) 798-1597
Fax(315) 798-1570
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 24, 2019
Last NPPES UpdateOctober 28, 2024
NPPES CertifiedOctober 28, 2024
✔ NPI 1124689948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 344573
Also ListedNurse PractitionerTaxonomy 363L00000X · License 344573 (NY)
1729 BURRSTONE RD, New Hartford, NY 13413
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11450 Champlin AveUtica, NY 13502-3605 · Phone (315) 624-9004 · Fax (315) 624-9003
Location 22305 Genesee StUtica, NY 13501-6107 · Phone (315) 624-9000 · Fax (315) 624-9003

Other Identifiers 1

MedicaidPENDINGNY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sejla Grosonja Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800125956
PECOS Enrollment IDI20190916000447, I20220325000443, I20221006000821, I20230706002992, I20241206003437
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
313 services101 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
221 services150 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
85 services71 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
71 services40 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
67 services61 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
60 services54 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wynn Hospital

Acute Care Hospitals · Utica, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330044
Location111 Hospital DriveUtica, NY 13502 · Oneida County
Emergency services Birthing friendly

Rome Memorial Hospital, Inc

Acute Care Hospitals · Rome, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330215
Location1500 North James StreetRome, NY 13440 · Oneida County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13413 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers40 claims40 services$39.09 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers43 claims43 services$95.60 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers40 claims118 services$34.96 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
2 suppliers14 claims15 services$58.22 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers36 claims36 services$18.81 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers13 claims13 services$15.31 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

LYNN LUTHERN PA
Physician Assistant (Medical)
1729 BURRSTONE RD
NEW HARTFORD, NY 13413
Oneida County (315) 798-1859
AMELA THOMPSON
Nurse Practitioner (Family)
1729 BURRSTONE RD
NEW HARTFORD, NY 13413
Oneida County (315) 798-1808
MS. KAREN WARNER NP
Nurse Practitioner
1729 BURRSTONE RD
NEW HARTFORD, NY 13413
Oneida County (315) 798-1543
DR. DAYAL DAVIS RAJA M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1729 BURRSTONE RD, SLOCUM-DICKSON MEDICAL GROUP
NEW HARTFORD, NY 13413
Oneida County (315) 798-1700
MELANIE PADMANABHAN FNP
Nurse Practitioner (Family)
1729 BURRSTONE RD
NEW HARTFORD, NY 13413
Oneida County (315) 798-1551
MICHAEL JOSEPH MCNULTY M.D.
Pain Medicine (Pain Medicine)
1729 BURRSTONE RD
NEW HARTFORD, NY 13413
Oneida County (315) 798-1747
DR. GAIL JOHNSON M.D.
Internal Medicine
1729 BURRSTONE RD
NEW HARTFORD, NY 13413
Oneida County (315) 798-1700
SUZANNE W BUSCHOR PT
Physical Therapist
1729 BURRSTONE RD
NEW HARTFORD, NY 13413
Oneida County (315) 798-1700

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 Sejla Grosonja's NPI number?

The NPI number for Sejla Grosonja is 1124689948. It was assigned to this individual provider in the NPPES registry on June 24, 2019.

Where is Sejla Grosonja located?

Sejla Grosonja practices at 1729 Burrstone Rd, New Hartford, NY 13413. The listed phone number is (315) 798-1597.

What is Sejla Grosonja's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sejla Grosonja enrolled in Medicare?

Yes. Sejla Grosonja is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sejla Grosonja accept?

Health plans from CareSource list Sejla Grosonja as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sejla Grosonja affiliated with any hospitals?

According to CMS data, Sejla Grosonja is affiliated with Wynn Hospital and Rome Memorial Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Sejla Grosonja was last updated on October 28, 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.