Individual provider Active NPI

Winifred Angir-Sisco

  • Nurse Practitioner
  • Saginaw, MI
National Provider Identifier
1053870170
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704309762 Issued in MI
Practice address
4677 Towne Centre Rd Ste 303
Saginaw, MI 48604
Phone
(989) 401-5354
Fax
(989) 790-7941
NPI assigned
Mar 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704309762 MI Primary

Addresses

Primary practice location

4677 Towne Centre Rd Ste 303
Saginaw, MI 48604

Mailing address

4677 Towne Centre Rd Ste 303
Saginaw, MI 48604-2848
Phone (989) 401-5354

Other practice location 1

3625 W Michigan Ave
Kalamazoo, MI 49006-5427
Phone (269) 375-4550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20190516002098 MI Practitioner - Nurse Practitioner 1153664073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Saginaw Valley Medical College - NLG, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Claudia Zacharek MD PLCGroup PAC ID 7416144670, 2 clinicians

Practice addresses (Care Compare)

4677 Towne Centre Rd
Suite 303
Saginaw, MI 48604-2848
Phone (989) 401-5354

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Claudia Zacharek MD PLC CurrentSince May 1, 2019 Accepting new patients

Locations

4677 Towne Centre Rd
Ste 303
Saginaw, MI 48604
Phone (989) 401-5354

700 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6000

Interoperability endpoints

  • Direct secure messaging: wangirsisco77294@direct.covenanthealthcare.com

Organizations & group practices 1

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1053870170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4677 TOWNE CENTRE RD STE 303",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042848",
            "telephone_number": "989-401-5354",
            "fax_number": "989-790-7941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4677 TOWNE CENTRE RD STE 303",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "48604",
            "telephone_number": "989-401-5354",
            "fax_number": "989-790-7941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3625 W Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490065427",
            "country_code": "US",
            "telephone_number": "269-375-4550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANGIR-SISCO",
        "first_name": "WINIFRED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704309762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.