Maureen Ann Gorszczyk, APN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209.010833 Issued in IL

Practice address

250 Water Stone Cir
Joliet, IL 60431-8313

Phone

(815) 740-4104

NPI assigned

Nov 28, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Joliet Area Community Hospice Corporation

  • Community Based Hospice Care Agency
  • Joliet, IL
  • NPI 1043212103
  Medicare reassignment

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511827200000",
    "number": "1033623129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 WATER STONE CIR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604318313",
            "telephone_number": "815-740-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 WATER STONE CIR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604318313",
            "telephone_number": "815-740-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORSZCZYK",
        "first_name": "MAUREEN",
        "middle_name": "ANN",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-28",
        "last_updated": "2017-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.010833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS APN LICENSE",
            "identifier": "209.010833",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sunil Kumar Gopalakrishna Pillai
• Shanthi R Gopi, M.D.
• Kevin Gordon, D.O.
• Shelia Gorman, COTA/L
• Lawrence E Gorski, PSYD
• Aparna Gottumukkula, DMD
• Teresa Steward Govoni, P.T.
• Nitin Goyal, MD
• Matt Gozner, M.A.
• George Nicholas Grabavoy

• Nurse Practitioner in Joliet, IL
• Providers in Joliet, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.