Individual provider Active NPI

Jason John Warczinsky

  • Family Nurse Practitioner
  • Flint, MI
National Provider Identifier
1053904805
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2021102560 Issued in MI
Practice address
1121 W Hill Rd
Flint, MI 48507-4733
Phone
(810) 232-8888
NPI assigned
Feb 12, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704350108 MI
Family Nurse Practitioner 363LF0000X 2021102560 MI Primary

Addresses

Primary practice location

1121 W Hill Rd
Flint, MI 48507-4733

Mailing address

8269 Hidden Holw
Fenton, MI 48430-4403
Phone (810) 931-5839

Other practice location 1

6020 W Pierson Rd
Flushing, MI 48433-2335
Phone (810) 720-1200

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
I20211228002023 MI Practitioner - Nurse Practitioner 4880085984 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Michigan Medical School, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urological Services, PLLCGroup PAC ID 9537207733, 13 clinicians

Practice addresses (Care Compare)

1121 W Hill Rd
Flint, MI 48507-4733
Phone (810) 232-8888

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704350108MIMDRegistered Nurse
2021102560MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urological Services, PLLC CurrentSince Jan 15, 2024 Accepting new patients
Flushing Urgent Care PLC CurrentSince Dec 21, 2021 Accepting new patients

Locations

1121 W Hill Rd
Flint, MI 48507
Phone (810) 232-8888

6020 W Pierson Rd
Flushing, MI 48433
Phone (810) 407-7989

1 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-5733

Interoperability endpoints

  • Direct secure messaging: jwarczinsky1156998@direct.hfhs.org
  • Direct secure messaging: jasonwarczinsky@uroservices.medalliesdirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1613088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1053904805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8269 HIDDEN HOLW",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484304403",
            "telephone_number": "810-931-5839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 W HILL RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485074733",
            "telephone_number": "810-232-8888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6020 W Pierson Rd",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "MI",
            "postal_code": "484332335",
            "country_code": "US",
            "telephone_number": "810-720-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARCZINSKY",
        "first_name": "JASON",
        "middle_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-12",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704350108",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "2021102560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.