Individual provider Active NPI

Joseph Michael Wierzbicki, MD

  • Sports Medicine (Family Medicine) Physician
  • Port Saint Lucie, FL
National Provider Identifier
1194959643
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
ME109987 Issued in FL
Practice address
9077 S Federal Hwy
Port Saint Lucie, FL 34952-3405
Phone
(772) 335-4770
Fax
(772) 335-4133
NPI assigned
May 13, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X ME109987 FL Primary

Addresses

Primary practice location

9077 S Federal Hwy
Port Saint Lucie, FL 34952-3405

Mailing address

9077 S Federal Hwy
Port Saint Lucie, FL 34952-3405
Phone (772) 335-4770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120827000831 FL Practitioner - Sports MedicinePractitioner - Family Practice 8921255944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mark J Powers MD PA Florida Orthopaedic Specialists CurrentSince Aug 1, 2013 Accepting new patients
Mark J Powers MD PA Florida Orthopaedic Specialists CurrentSince Aug 1, 2013 Accepting new patients

Locations

9077 S US Highway 1
Port St Lucie, FL 34952
Phone (407) 335-4770

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.

NPI Registry JSON

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1194959643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9077 S FEDERAL HWY",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349523405",
            "telephone_number": "772-335-4770",
            "fax_number": "772-335-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9077 S FEDERAL HWY",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349523405",
            "telephone_number": "772-335-4770",
            "fax_number": "772-335-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIERZBICKI",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-13",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "FL",
            "license": "ME109987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

Verify at the official NPI Registry.