Elizabeth Weissbart Wasik, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95013662 Issued in CA

Practice address

4340 Golden Center Dr Ste B
Placerville, CA 95667-6280

Phone

(530) 621-7700

NPI assigned

Sep 10, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA

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

Merit-based Incentive Payment System (MIPS)

Final score

81.49 of 100Reported as group

Quality

60.52

Promoting interoperability

100

Improvement activities

40

Cost

68.7

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elizabeth.wasik@ampla.eclinicaldirectplus.com

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.

• Ampla Health

  • Federally Qualified Health Center (FQHC)
  • Oroville, CA
  • NPI 1952333635
  Medicare reassignment NPD
• Enloe Medical Center

  • Urgent Care Clinic/Center
  • Chico, CA
  • NPI 1396753281
  Medicare reassignment NPD
• Ampla Health

  • Federally Qualified Health Center (FQHC)
  • Yuba City, CA
  • NPI 1831115070
  NPD
• Ampla Health

  • Federally Qualified Health Center (FQHC)
  • Chico, CA
  • NPI 1881613669
  NPD
• Enloe Medical Center

  • Hospitalist Physician
  • Chico, CA
  • NPI 1285327510
  NPD
• Enloe Medical Center

  • Community/Retail Pharmacy
  • Chico, CA
  • NPI 1912949538
  NPD
• Ampla Health

  • Federally Qualified Health Center (FQHC)
  • Orland, CA
  • NPI 1285667758
  NPD (past)
• Schenectady Family Health Services, Inc.

  • Family Medicine Physician
  • Amsterdam, NY
  • NPI 1174947469
  NPD (past)
• Schenectady Family Health Services, Inc.

  • Dental Clinic/Center
  • Schenectady, NY
  • NPI 1316624786
  NPD (past)
• Schenectady Family Health Services, Inc.

  • Dental Clinic/Center
  • Schenectady, NY
  • NPI 1538705819
  NPD (past)

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1053894717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 MISSOURI FLAT RD",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956676269",
            "telephone_number": "530-621-7700",
            "fax_number": "518-395-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 GOLDEN CENTER DR STE B",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956676280",
            "telephone_number": "530-621-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISSBART WASIK",
        "first_name": "ELIZABETH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F343571",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95013662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02995513",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "53099A",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OSCAR",
            "identifier": "331833",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danelle Francine Watts
• Sherry Watts, NP-C, PMHNP-BC
• Janeen Weber
• Lark Ann Weger, OTRL
• Curtiss Eugene Weidmer, M.D., M.P.H.
• Forrest R. Wendell, DDS
• Colleen Wentz, FNP
• West Slope Recovery
• Western Sierra Orthopaedic Center Inc
• Terry Charles Weyl, PH.D.

• Family Nurse Practitioner in Placerville, CA
• Providers in Placerville, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.