Active NPI
McKayla Ann Wieczorek
- Surgery Physician
- Wichita, KS
National Provider Identifier
1083344170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- RL18519
- Practice address
- 929 N Saint Francis Ave
Wichita, KS 67214-3821 - Phone
- (316) 293-2699
- NPI assigned
- Jun 13, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | RL18519 | ND | Primary |
Addresses
Primary practice location
929 N Saint Francis Ave
Wichita, KS 67214-3821
Mailing address
Wcgme
1010 N Kansas St
Wichita, KS 67214
Phone (316) 293-2699
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220921001837 | ND | Order and Referring Only - General Surgery | 8224413695 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RL18519 | ND | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688515200000",
"number": "1083344170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "WCGME",
"address_2": "1010 N KANSAS ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "67214",
"telephone_number": "316-293-2699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 N SAINT FRANCIS AVE",
"city": "WICHITA",
"state": "KS",
"postal_code": "672143821",
"telephone_number": "316-293-2699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIECZOREK",
"first_name": "MCKAYLA",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-13",
"last_updated": "2023-07-05",
"certification_date": "2023-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "ND",
"license": "RL18519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.