ALEXANDER OBRADOVIC PMHNP-BC
NPI 1124775416
Nurse Practitioner - Psychiatric/Mental Health in Rockville Centre, NY

Q: What is Alexander Obradovic's NPI number?

The NPI number for Alexander Obradovic is 1124775416. It was assigned to this individual provider in the NPPES registry on March 7, 2022.

Q: What is Alexander Obradovic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since March 07, 2022PECOS EnrolledAccepts Medicare Assignment

100 N VILLAGE AVE STE 27, ROCKVILLE CENTRE, NY 11570(416) 802-7277 Get Directions Write a Review

NPPES record last updated: March 17, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Alexander Obradovic Pmhnp-bc NPPES

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

ALEXANDER OBRADOVIC PMHNP-BC (NPI 1124775416) is an individual psychiatric/mental health provider in Rockville Centre, New York, licensed in New York (403934) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1124775416

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameALEXANDER OBRADOVICCredential: PMHNP-BC

Location Address100 N VILLAGE AVE STE 27Rockville Centre, NY 11570-3712

Mailing Address38 Peach Tree CommonSt Catharines, ONTARIO L2N0B6

Phone(416) 802-7277

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 7, 2022

Last NPPES UpdateMarch 17, 2022

NPPES CertifiedMarch 17, 2022

✔ NPI 1124775416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NY · 403934

100 N VILLAGE AVE STE 27, Rockville Centre, NY 11570

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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alexander Obradovic Pmhnp-bc 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 ID8527445550

PECOS Enrollment IDI20220513000488

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.

Medicare Billing Reassignment

Medicare enrollment records show Alexander Obradovic reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Empire Np Psychiatry PC

Same address

Psychiatric/Mental Health

100 N VILLAGE AVE STE 27
Rockville Centre, NY 11570

Reassigned Medicare billing, New York enrollment
14 clinicians in this Medicare group

NPI 1982213005 (516) 784-0377

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

132 services21 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.

91 services17 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.

55 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11570 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

Other Providers at the Same Location NPPES 14

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

GRACE COSTA PMHNP

Nurse Practitioner (Psychiatric/Mental Health)