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MR. EDIN MEMISEVICH NP
NPI 1992160105
Nurse Practitioner - Primary Care in New Haven, CT

Active since December 15, 2015PECOS EnrolledAccepts Medicare Assignment
1 LONG WHARF DR, NEW HAVEN, CT 06511(203) 781-4600(203) 781-4624 Get Directions Write a Review

NPPES record last updated: January 9, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 9, 2017, Feb 26, 2016, Feb 12, 2016 and 2 more (5 updates tracked since 2015).

About Mr. Edin Memisevich Np NPPES

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

MR. EDIN MEMISEVICH NP (NPI 1992160105) is an individual primary care provider in New Haven, Connecticut, licensed in Connecticut (6411) and active in the NPI registry since December 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1992160105
Entity TypeIndividualMale
Primary Taxonomy363LP2300X
Provider Legal NameMR. EDIN MEMISEVICHCredential: NP
Location Address1 LONG WHARF DRNew Haven, CT 06511-5946
Mailing Address1 Long Wharf DrNew Haven, CT 06511-5946 · (203) 781-4600 · Fax (203) 781-4624
Phone(203) 781-4600
Fax(203) 781-4624
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 15, 2015
Last NPPES UpdateJanuary 9, 20175 updates tracked since enumeration
✔ NPI 1992160105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in CT · 6411
Also ListedNurse PractitionerTaxonomy 363L00000X · License 6411 (CT)
1 LONG WHARF DR, New Haven, CT 06511
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Other Identifiers 5

Medicaid004217099CT
Medicaid008056033CT
Medicaid008056168CT
Medicare PIND400278647CT
Other008063396CT · Memisevich Medicaid

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

Mr. Edin Memisevich Np 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 ID7214232438
PECOS Enrollment IDI20160226000306, I20210722002956, I20240419001355, I20240509002301, I20241101002233
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06511 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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 20

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

DR. NEEMA DAD DDS
Student in an Organized Health Care Education/Training Program
1 LONG WHARF DR, YNHH PEDIATRIC DENTISTRY, STE 403
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 688-3000
ASHLEY ANTONUCCI DNP- FNP
Nurse Practitioner (Family)
1 LONG WHARF DR
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 688-8800
JEANETTE M TETRAULT MD
Internal Medicine
1 LONG WHARF DR
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 781-4600
HEIDI CLARKE LPN
Licensed Practical Nurse
1 LONG WHARF DR
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 781-4600
DR. LAUREL EDWARDS PSY.D.
Psychologist
1 LONG WHARF DR, SUITE 7
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 974-5775
MRS. JOANNA SAMOSKEVICH
Nurse Practitioner (Family)
1 LONG WHARF DR
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 785-7689
DONNA LAPAGLIA PSY.D.
Psychologist (Clinical)
1 LONG WHARF DR, SATU
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 974-5734
JENNIFER LOYA PHD
Psychologist
1 LONG WHARF DR
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 974-5726

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 Edin Memisevich's NPI number?

The NPI number for Edin Memisevich is 1992160105. It was assigned to this individual provider in the NPPES registry on December 15, 2015.

Where is Edin Memisevich located?

Edin Memisevich practices at 1 Long Wharf Dr, New Haven, CT 06511. The listed phone number is (203) 781-4600.

What is Edin Memisevich's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Edin Memisevich enrolled in Medicare?

Yes. Edin Memisevich 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.

When was this NPI record last updated?

The NPPES record for Edin Memisevich was last updated on January 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.