Individual provider Active NPI

Brittany Nicole Wojnicki, DPM

  • Foot & Ankle Surgery Podiatrist
  • Rockford, IL
National Provider Identifier
1255852877
Registry record updated Jul 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
135.000960 Issued in IL
Practice address
5666 E State St
Rockford, IL 61108-2425
Phone
(815) 395-5053
NPI assigned
Jul 5, 2017
Last updated
Jul 5, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 135.000960 IL Primary

Addresses

Primary practice location

5666 E State St
Rockford, IL 61108-2425

Mailing address

134 Birch Dr SW
Poplar Grove, IL 61065-8977

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200714001224 IL Practitioner - Podiatry 8628348315 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

721 E Court St
Paris, IL 61944-2460
Phone (217) 465-4141

727 E Court St
Paris, IL 61944-2460
Phone (217) 465-8411

745 E Court St
Paris, IL 61944-2460
Phone (217) 466-4170

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as apm
Quality
72.1
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
135.000960ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital & Medical Foundation of Paris, Inc. Multi-Specialty CurrentSince Jul 1, 2020 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Multi-Specialty CurrentSince Jul 1, 2020 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Past Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Multi-Specialty Past Accepting new patients

Locations

721 E Court St
Paris, IL 61944
Phone (217) 465-4141

727 E Court St
Paris, IL 61944
Phone (217) 465-4141

Interoperability endpoints

  • Direct secure messaging: brittany.wojnicki.1@11356.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499212800000",
    "number": "1255852877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 BIRCH DR SW",
            "city": "POPLAR GROVE",
            "state": "IL",
            "postal_code": "610658977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5666 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082425",
            "telephone_number": "815-395-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOJNICKI",
        "first_name": "BRITTANY",
        "middle_name": "NICOLE",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-05",
        "last_updated": "2017-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "135.000960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.