Individual provider Active NPI

Ann Marie Papczynski, FNP

  • Family Nurse Practitioner
  • South Bend, IN
National Provider Identifier
1326378688
Registry record updated Jan 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71003169A Issued in IN
Practice address
1901B W Western Ave
South Bend, IN 46619-3521
Phone
(574) 234-9033
NPI assigned
Jan 10, 2010
Last updated
Jan 22, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
71003169AOtherINPRESCRIPTION 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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71003169AINMDFamily 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

Verify at the official NPI Registry.