Melissa A Podwojski, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209019442 Issued in IL

Practice address

1285 Franciscan Dr
Litchfield, IL 62056-1778

Phone

(217) 324-1004

Fax

(217) 324-4072

NPI assigned

May 7, 2019

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

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

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.

• Litchfield Family Practice Center

  • Family Medicine Physician
  • Litchfield, IL
  • NPI 1235189499

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1053976886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 PANHORST ST",
            "city": "STAUNTON",
            "state": "IL",
            "postal_code": "620881739",
            "telephone_number": "217-801-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 FRANCISCAN DR",
            "city": "LITCHFIELD",
            "state": "IL",
            "postal_code": "620561778",
            "telephone_number": "217-324-1004",
            "fax_number": "217-324-4072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 E Carpenter St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627691000",
            "country_code": "US",
            "telephone_number": "217-801-4662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PODWOJSKI",
        "first_name": "MELISSA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-07",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209019442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physician Management Services of Illinois II, LLC
• Physician Management Services of Illinois, LLC
• Physician Management Services of Northern Illinois, LLC
• Physician Management Services of Southern Illinois, LLC
• Gregg T Podleski, D.O.
• Rachel L Puckett, PA
• Trent David Rakers, PHARMD
• Cody Ratermann, MD
• Cynthia A Reents, PT
• Reid Eye Care LTD.

• Family Nurse Practitioner in Litchfield, IL
• Providers in Litchfield, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.