Brianna Wicinski, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

277.001625 Issued in IL

Practice address

1117 S Milwaukee Ave Ste B14
Libertyville, IL 60048-5258

Phone

(224) 234-9299

NPI assigned

Sep 9, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Healthy Minds Behavioral Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Libertyville, IL
  • NPI 1225757446
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722729600000",
    "number": "1508415951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 S MILWAUKEE AVE STE B14",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485258",
            "telephone_number": "224-234-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 S MILWAUKEE AVE STE B14",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485258",
            "telephone_number": "224-234-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICINSKI",
        "first_name": "BRIANNA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2024-08-04",
        "certification_date": "2024-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209-019990",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "277.001625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE",
            "identifier": "209019990",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terese Wenzel, NP
• White Anesthesia, LLC
• Jayne Ann White, OTR/L
• Kimberly White
• Alesia Whitt, NP
• Wiegand Psychological Services, LLC
• Timothy Wile
• Cody Adam Wilgus, PHARMD
• Ava Lake Wilhelm
• Beth Anne Wilkowski, MPT

• Nurse Practitioner in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.
• 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.