Active NPI
Janelle Lori Wanzek, PA-C
- Physician Assistant
- Henderson, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA2429
- Practice address
- 650 S Green Valley Pkwy Ste 120
Henderson, NV 89052-0425 - Phone
- (702) 847-6252
- Fax
- (028) 476-2547
- NPI assigned
- Apr 21, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2429 | NV | Primary |
Addresses
Primary practice location
650 S Green Valley Pkwy Ste 120
Henderson, NV 89052-0425
Mailing address
650 S Green Valley Pkwy Ste 120
Henderson, NV 89052-0425
Phone (702) 847-6252
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | eClinicalWorks | Direct | |
| Direct Messaging Address | jwanzek641149@direct.med.utah.edu | Direct | University of Utah |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Touro Un Col of Osteopathic Medicine, Henderson, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1525 W 2100
Salt Lake City, UT 84119-1407
Phone (801) 213-9900
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.01 of 100
- Quality
- 94.06
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.32
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA2429 | NV | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Community Physicians Group | Current | Accepting new patients | |
| University of Utah Community Physicians Group | Past | Accepting new patients |
Locations
26 S Main St
Centerville, UT 84014
Phone (801) 693-7900
7495 S State St
Midvale, UT 84047
Phone (801) 213-9400
1525 W 2100 S
Salt Lake City, UT 84119
Phone (801) 213-8841
5126 W Daybreak Pkwy
Ste 600
South Jordan, UT 84009
Interoperability endpoints
- jwanzek641149@direct.med.utah.edu
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Salt Lake City, UT
- NPI 1467241554
-
- General Practice Physician
- Salt Lake City, UT
- NPI 1124422126
-
- Family Medicine Physician
- Park City, UT
- NPI 1053715763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693785600000",
"number": "1578145488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 S GREEN VALLEY PKWY STE 120",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890520425",
"telephone_number": "702-847-6252",
"fax_number": "702-847-6254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 S GREEN VALLEY PKWY STE 120",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890520425",
"telephone_number": "702-847-6252",
"fax_number": "028-476-2547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANZEK",
"first_name": "JANELLE",
"middle_name": "LORI",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-21",
"last_updated": "2023-09-04",
"certification_date": "2023-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "PA2429",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "eClinicalWorks",
"affiliation": "N",
"endpointDescription": "EMR",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "650 S Green Valley Pkwy Ste 120",
"city": "Henderson",
"state": "NV",
"country_code": "US",
"postal_code": "890520425",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jwanzek641149@direct.med.utah.edu",
"affiliation": "Y",
"affiliationName": "University of Utah",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "50 N Medical Dr",
"city": "Salt Lake City",
"state": "UT",
"country_code": "US",
"postal_code": "84132",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; 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.