Jacqueline Pawlaczyk, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704276427 Issued in MI

Practice address

1500 Eureka Rd
Wyandotte, MI 48192-6103

Phone

(888) 825-9165

NPI assigned

Nov 17, 2015

Last updated

Nov 17, 2015By the provider in NPPES

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

Enrolled in WA

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cascade Eye and Skin Centers PCGroup PAC ID 4486541554, 47 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cascade Eye & Skin Centers P.C.

  • Ophthalmology Physician
  • Puyallup, WA
  • NPI 1033204938
  Medicare reassignment Care Compare group NPD
• Cascade Eye & Skin Centers PC

  • Ophthalmology Physician
  • Auburn, WA
  • NPI 1427293109
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Multicare Health System

  dba Tacoma General Allenmore

  • General Acute Care Hospital
  • Tacoma, WA
  • NPI 1366556227
  Care Compare affiliation

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447718400000",
    "number": "1659745453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 TOURAINE RD",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482363227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 EUREKA RD",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481926103",
            "telephone_number": "888-825-9165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWLACZYK",
        "first_name": "JACQUELINE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-17",
        "last_updated": "2015-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704276427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aniruddha Pathak, RPH
• Patricia Compos
• Julie Ann Patterson, COTA
• Rebecca Ruth Paul, O.T.
• Pawan K Garg PLLC
• Mark I Pensler, M.D.
• Robert Alan Pensler, M.D.
• Stephen D Peretin, DO
• Periodontic PLLC
• Laura Perry

• Family Nurse Practitioner in Wyandotte, MI
• Providers in Wyandotte, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.