Individual provider Active NPI

Patricia Wozniak, PA-C

  • Medical Physician Assistant
  • Lafayette, IN
National Provider Identifier
1093101073
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
10001803A Issued in IN
Practice address
3528 Round Rock Cir
Lafayette, IN 47909-6239
Phone
(765) 491-6269
Fax
(765) 435-7295
NPI assigned
Apr 7, 2015
Last updated
Jul 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1111760 IN
Physician Assistant 363A00000X 61475 CA
Medical Physician Assistant 363AM0700X 10001803A IN Primary

Addresses

Primary practice location

3528 Round Rock Cir
Lafayette, IN 47909-6239

Mailing address

3528 Round Rock Cir
Lafayette, IN 47909-6239
Phone (765) 491-6269

Other practice location 1

215 S Hickory St Ste 114
Escondido, CA 92025-4360
Phone (760) 704-9429

Other names 1

  • Patricia Lambert Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, TX, CO, FL, WI5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20170330000446 IN Practitioner - Physician Assistant 4587949714 Reassigns benefits to 1 organization
I20260302000862 TX Practitioner - Physician Assistant 4587949714 Reassigns benefits to 1 organization
I20260319000218 CO Practitioner - Physician Assistant 4587949714 Reassigns benefits to 1 organization
I20260409003726 FL Practitioner - Physician Assistant 4587949714 Reassigns benefits to 1 organization
I20260623000743 WI Practitioner - Physician Assistant 4587949714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3528 Round Rock Cir
Lafayette, IN 47909-6239

9 Executive Campus
Cherry Hill, NJ 08002-4502

909 NE Loop
410 Suite 600
San Antonio, TX 78209-1309

909 NE Loop
Suite 410
San Antonio, TX 78209

PO Box
Suite 1608
Grand Rapids, MI 49501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61475CAMDClinical Social Worker
1111760INMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southtown Psychiatry PLLC CurrentSince Jan 21, 2026 Accepting new patients

Locations

1690 Meade St
Denver, CO 80204
Phone (303) 264-6854

5075 Innovation Way
Jupiter, FL 33458
Phone (561) 935-3002

608 North St
Adair, IA 50002
Phone (515) 298-7209

6330 Digital Way
Indianapolis, IN 46278
Phone (314) 473-6688

613 Victoria Ln
Harlingen, TX 78550
Phone (888) 800-5641

909 NE Loop 410
Ste 600
San Antonio, TX 78209
Phone (210) 332-2727

Interoperability endpoints

  • Direct secure messaging: patricia.wozniak@202362935902212.direct.elationemr.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1093101073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3528 ROUND ROCK CIR",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479096239",
            "telephone_number": "765-491-6269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3528 ROUND ROCK CIR",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479096239",
            "telephone_number": "765-491-6269",
            "fax_number": "765-435-7295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 S Hickory St Ste 114",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920254360",
            "country_code": "US",
            "telephone_number": "760-704-9429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOZNIAK",
        "first_name": "PATRICIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-07",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "1111760",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "61475",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IN",
            "license": "10001803A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "LAMBERT",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.