Kelly Wojciechowski

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R215373 Issued in MD

Practice address

8015 Apple Valley Dr
Pasadena, MD 21122-4174

Phone

(410) 255-0102

NPI assigned

Jan 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17833/brand/1/csg/1/fhir/r4

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.

• Onsite Medical Palliative Care LLC

  • Nurse Practitioner
  • Woodbine, MD
  • NPI 1124695143
  NPD (past)

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1659844801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10826A SUMMIT AVE",
            "city": "WOODSTOCK",
            "state": "MD",
            "postal_code": "211631211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8015 APPLE VALLEY DR",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211224174",
            "telephone_number": "410-255-0102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10826A Summit Ave",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "MD",
            "postal_code": "211631211",
            "country_code": "US",
            "telephone_number": "410-461-5507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOJCIECHOWSKI",
        "first_name": "KELLY",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-09",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R215373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory S. Wilson, M.S.
• Stacey Wilson
• Robin I Wisch, MD
• Wisecare Primary Care
• Wisecare, LLC
• Zelalem Woldemariam, PHARMD
• Sau CHI Wong
• Norae Shanell Woodard, CPNP-PC
• Brian Todd Woolf, O.D.
• Howard Irvin Woolf, O.D.

• All providers in Pasadena, MD
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.