Mary Reszczynski, APNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

102705-030 Issued in WI

Practice address

632 Fremont St
Kiel, WI 53042-1321

Phone

(920) 894-3222

NPI assigned

Sep 27, 2005

Last updated

Dec 7, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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

• Ascension Medical Group-Fox Valley Wisconsin, Inc

  dba Ascension Medical Group

  • Multi-Specialty Clinic/Center
  • Neenah, WI
  • NPI 1730126392
  Medicare reassignment NPD
• Ascension Medical Group-Fox Valley Wisconsin, Inc

  • Cardiovascular Disease Physician
  • Appleton, WI
  • NPI 1831890177
  NPD
• Ascension Calumet Hospital, Inc

  dba Ascension Calumet Hospital

  • Critical Access Hospital
  • Chilton, WI
  • NPI 1376541748
  NPD (past)

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354838400000",
    "number": "1093701831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 FREMONT ST",
            "city": "KIEL",
            "state": "WI",
            "postal_code": "530421321",
            "telephone_number": "920-894-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 FREMONT ST",
            "city": "KIEL",
            "state": "WI",
            "postal_code": "530421321",
            "telephone_number": "920-894-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESZCZYNSKI",
        "first_name": "MARY",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-27",
        "last_updated": "2012-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "102705-030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43910200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler R Olig
• Darla Otto, CSW, MSM, CTACC
• Pathways to a Better Life, LLC (Pathways To A Better Life - Kiel Campus 1)
• David James Pieper, D.D.S.
• Pamela Quezaire, MSE CSAC ICS
• Tera Marie Mae Rodriguez, IPHM
• Cynthia Schick, P.T.
• Schleicher Chiropractic, SC
• Michael D Schleicher, D.C.
• Deborah Lee Schmidt, RN

• Family Nurse Practitioner in Kiel, WI
• Providers in Kiel, WI by specialty
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; 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.