Mary L Nierzwicki, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

71000117 Issued in IN

Practice address

600 N Jordan Ave
Bloomington, IN 47405-3190

Phone

(812) 855-3284

NPI assigned

Aug 3, 2006

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Bloomington Cardiology PC

  • Cardiovascular Disease Physician
  • Bloomington, IN
  • NPI 1558423806
  NPD (past)
• Indiana University

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1689790552
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649288853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N JORDAN AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474053190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N JORDAN AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474053190",
            "telephone_number": "812-855-3284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIERZWICKI",
        "first_name": "MARY",
        "middle_name": "L",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "71000117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janna Kasting Nickoll, NP
• Brett Niehaus, DPT
• Perinjit K Niehaus, PA-C
• Ryan Niehaus, D.O.
• Austin Stanley Nielsen, MD
• Ray Nieves, RBT
• Woutera Nijdam, MSW, LSW
• Neli Nikolov, MD
• Azar Nikravesh
• Todd Nisley, P.A.

• Adult Health Nurse Practitioner in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Adult Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.