Active NPI
Ann Marie Papczynski, FNP
- Family Nurse Practitioner
- South Bend, IN
National Provider Identifier
1326378688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71003169A
- Practice address
- 1901B W Western Ave
South Bend, IN 46619-3521 - Phone
- (574) 234-9033
- NPI assigned
- Jan 10, 2010
- Last updated
- Jan 22, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28112092A | IN | |
| Family Nurse Practitioner | 363LF0000X | 71003169A | IN | Primary |
Addresses
Primary practice location
1901B W Western Ave
South Bend, IN 46619-3521
Mailing address
1901 #B Western Ave
South Bend, IN 46619
Phone (574) 234-9033
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71003169A | Other | IN | PRESCRIPTION AUTHORITY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71003169A | IN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264118400000",
"number": "1326378688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 #B WESTERN AVE",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "46619",
"telephone_number": "574-234-9033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901B W WESTERN AVE",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466193521",
"telephone_number": "574-234-9033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAPCZYNSKI",
"first_name": "ANN MARIE",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-10",
"last_updated": "2010-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28112092A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71003169A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESCRIPTION AUTHORITY",
"identifier": "71003169A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; 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.