Kristen Sheridan Wozniak, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024167807 Issued in VA

Practice address

1531 S Grove Ave
Suite 101
Barrington, IL 60010-5240

Phone

(847) 381-8899

NPI assigned

May 14, 2008

Last updated

Dec 30, 2021By 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

Electronic endpoints 2

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

Specialty

Nurse Practitioner

Education

Georgetown University School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Derick Dermatology PLLCGroup PAC ID 1557366796, 65 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Derick Dermatology, PLLC

  • Dermatology Physician
  • Crystal Lake, IL
  • NPI 1134664402
  Medicare reassignment Care Compare group NPD
• Derick Dermatology, PLLC

  • Dermatology Physician
  • Oak Park, IL
  • NPI 1154998425
  NPD (past)
• Derick Dermatology, PLLC

  • Dermatology Physician
  • Libertyville, IL
  • NPI 1174097836
  NPD (past)
• Derick Dermatology, PLLC

  • Dermatology Physician
  • Bartlett, IL
  • NPI 1225526627
  NPD (past)
• Derick Dermatology, PLLC

  • Dermatology Physician
  • Oak Brook, IL
  • NPI 1366009664
  NPD (past)
• Derick Dermatology, PLLC

  • Dermatology Physician
  • Lindenhurst, IL
  • NPI 1376017038
  NPD (past)
• Derick Dermatology, PLLC

  • Dermatology Physician
  • Naperville, IL
  • NPI 1386118057
  NPD (past)
• Derick Dermatology, PLLC

  • Dermatology Physician
  • Orland Park, IL
  • NPI 1588232805
  NPD (past)
• Derick Dermatology, PLLC

  • Dermatology Physician
  • Buffalo Grove, IL
  • NPI 1639670904
  NPD (past)
• Derick Dermatology, PLLC

  • Dermatology Physician
  • Geneva, IL
  • NPI 1669066395
  NPD (past)
• Derick Dermatology, PLLC

  • Dermatology Physician
  • Chicago, IL
  • NPI 1851889257
  NPD (past)
• Derick Dermatology, PLLC

  • Dermatology Physician
  • Burr Ridge, IL
  • NPI 1902408743
  NPD (past)

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1225205735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 S GROVE AVE",
            "address_2": "SUITE 101",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600105240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 S GROVE AVE",
            "address_2": "SUITE 101",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600105240",
            "telephone_number": "847-381-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOZNIAK",
        "first_name": "KRISTEN",
        "middle_name": "SHERIDAN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024167807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwozniak@directaddress.net",
            "affiliation": "N",
            "address_1": "1531 S Grove Ave",
            "address_2": "Suite 101",
            "city": "Barrington",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600105240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://select.nextech-api.com/api",
            "affiliation": "N",
            "address_1": "1531 S Grove Ave",
            "address_2": "Suite 101",
            "city": "Barrington",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600105240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Harvey Ira Wolf, DDS
• Jeannette C Wolff
• Jacquelyn Wolski
• Wound Treatment Service of America LLC
• Wound Treatment Services of America,LLC
• Julie C Wright, LCSW
• Kenneth Charles Wright, DDS
• Julie Ann Wubs, RN, ACNP
• Peter W Wuertz, M.D.
• X-Change Dialysis, Inc.

• Family Nurse Practitioner in Barrington, IL
• Providers in Barrington, 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 Dec 30, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.