CMS-1500 Box 24J / 33a • NPI
1679900195
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363LA2200X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Adult Health
Box 32 Service Location & ZIP+4
343 ELM ST STE 201, RENO, NV, 89503-4538
✓ 9-Digit EDI 837 ZIP+4 (89503-4538)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1679900195 (EDIN ABDAGIC, NP) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
No
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1679900195)
Medicare Beneficiaries
57
Total Billed Services
5,272
Distinct CPT/HCPCS Codes
34
Medicare Allowed Total
$5,114,718.53
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
11042 | Removal of skin and tissue, 20.0 sq cm or less | 92 |
15271 | Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less | 165 |
20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 47 |
99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 28 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 163 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 117 |
J7331 | Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg | 763 |
Q4191 | Restorigin, per square centimeter | 502 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1679900195 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | EDIN ABDAGIC, NP |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Adult Health NUCC Code: 363LA2200X (Nurse Practitioner, Adult Health) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 343 ELM ST STE 201, RENO, NV, 89503-4538 |
| Practice Telephone / Fax | Tel: (702) 690-1633 |
| Administrative Mailing Address | 343 ELM ST STE 201, RENO, NV, 89503-4538 |
| Enumeration & Last Sync | Enumerated: 2013-09-29 | CMS Record Updated: 2022-05-02 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (363LA2200X)
What Does Taxonomy Code 363LA2200X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LA2200X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Adult Health"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (EDIN ABDAGIC, NP)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
163W00000X — Registered NursePlain English: Licensed & Credentialed Registered Nurse | State: IL | License: 041371933 | Primary: Secondary |
363LA2200X — Nurse Practitioner, Adult HealthPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Adult Health | State: IL | License: 209015952 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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