Jared Andersen Wojnicki, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036.126628 Issued in IL

Practice address

453 S Vermont St Ste C
Palatine, IL 60067-6968

Phone

(913) 359-6001

Fax

(913) 359-5552

NPI assigned

Nov 5, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, WI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

General Practice

Education

Midwestern University, Chicago College of Osteopathic Med, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Patheous Medical PLLCGroup PAC ID 8921458720, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Patheous Medical PLLC

  • Diagnostic Radiology Physician
  • Leawood, KS
  • NPI 1366121527

  IL, WI

  Medicare reassignment Care Compare group NPD
• Mack Foot & Ankle, SC

  • Foot & Ankle Surgery Podiatrist
  • Franklin Park, IL
  • NPI 1528282761
  NPD (past)
• MBS Envision LLC

  • Speech/Language/Hearing Specialist/Technologist
  • Mahomet, IL
  • NPI 1558970087
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1023099256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 COLLEGE BLVD STE 120",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111504",
            "telephone_number": "913-359-6001",
            "fax_number": "913-359-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 S VERMONT ST STE C",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600676968",
            "telephone_number": "913-359-6001",
            "fax_number": "913-359-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOJNICKI",
        "first_name": "JARED",
        "middle_name": "ANDERSEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-05",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A8952",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.126628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lee Whitman, MS, ED.S., NCSP
• Wholehearted Therapy PLLC
• Rachel Catherine Wilhelm
• Kandice Willis, PA-C
• Amanda Winter, LCSW
• Agnes Wojtowicz
• Rossana Di Silvio Woldman, L.C.S.W.
• Carly Wolfram, MA, LCPC
• Caryn E. Woods, APN-CNP
• Pamela K. Wunderlich, L.C.P.C.

• Family Medicine Physician in Palatine, IL
• Providers in Palatine, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.