Patrycja Mozdzierz

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209026719 Issued in IL

Practice address

2160 S 1St Ave
Maywood, IL 60153-3328

Phone

(708) 327-1313

NPI assigned

Jan 23, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Integrity Medical and Wounds Group Il RLLP

  • Specialist
  • Chicago, IL
  • NPI 1689405078

  Family

  Medicare reassignment NPD
• LG Healthcare LLC

  • Internal Medicine Physician
  • Barrington, IL
  • NPI 1912378605
  Medicare reassignment NPD

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1316653470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11900 NIAGRA LN",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601428139",
            "telephone_number": "708-856-7357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 S 1ST AVE",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601533328",
            "telephone_number": "708-327-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOZDZIERZ",
        "first_name": "PATRYCJA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209026719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Romina Belen Mourino, MD
• Fady Mohammed Mousa-Ibrahim, DO
• Erika Michelle Moxley, MD
• Lauren Moy, M.D.
• Kelly J Moyer, M.S., C.G.C.
• Maria Mrozowicz-Picken, MD PHD
• Melody Burns Msiska, M.D.
• Keith Muccino, MD
• Elizabeth Rose Mueller
• Joseph Mueller, MD

• Family Nurse Practitioner in Maywood, IL
• Providers in Maywood, 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 Oct 7, 2024; 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.