MR. EDIN MEMISEVICH NP
NPI 1992160105
Nurse Practitioner - Primary Care in New Haven, CT
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
Specialties & Licenses 2
Other Identifiers 5
Accepted 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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Edin Memisevich reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
East Hartford, CT 06108
- Reassigned Medicare billing, Connecticut enrollment
- 75 clinicians in this Medicare group
Flanders, NJ 07836
- Reassigned Medicare billing, New Jersey enrollment
- 19 clinicians in this Medicare group
Philadelphia, PA 19122
- Reassigned Medicare billing, Connecticut, Maine, New York and Vermont enrollments
- Medicare enrollment name: Ophelia Medical Group Fl PA
- 7 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
NEW HAVEN, CT 06511
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.
Which organizations bill Medicare for Edin Memisevich's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edin Memisevich reassigns Medicare benefits to 3 organizations: First Choice Health Centers, Inc. (East Hartford, CT), Ophelia Medical Group Nj PC (Flanders, NJ) and Ophelia Medical Group Fl, P.A. (Philadelphia, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edin Memisevich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Edin Memisevich accept?
Health plans from Anthem Blue Cross and Blue Shield list Edin Memisevich 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.
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.
# Mr. Edin Memisevich, NP · NPI 1992160105
Primary Care physician in New Haven, Connecticut. Individual provider, active in the CMS NPPES registry since December 15, 2015.
## Identity
- **NPI:** 1992160105 (Entity type: Individual)
- **Enumerated:** December 15, 2015
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 6411 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 LONG WHARF DR, New Haven, CT 06511-5946
- **Phone:** (203) 781-4600 · **Fax:** (203) 781-4624
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): First Choice Health Centers, Inc. (NPI 1215923131, East Hartford, CT); Ophelia Medical Group Nj PC (NPI 1346906179, Flanders, NJ); Ophelia Medical Group Fl, P.A. (NPI 1588244750, Philadelphia, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** January 9, 2017
- **Other identifiers:** Medicaid 004217099 (CT); Medicaid 008056033 (CT); Medicaid 008056168 (CT); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1992160105) · Data from the CMS NPPES public registry.