Individual provider Active NPI

Elzbieta Edyta Wisniewski, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Utica, MI
National Provider Identifier
1679134563
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
4704285494 Issued in MI
Practice address
45522 Hidden View CT
Utica, MI 48315-5921
Phone
(248) 550-9159
NPI assigned
Jun 22, 2019
Last updated
Nov 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 4704285494 MI Primary

Addresses

Primary practice location

45522 Hidden View CT
Utica, MI 48315-5921

Mailing address

45522 Hidden View CT
Utica, MI 48315-5921
Phone (248) 550-9159

Other practice location 1

31500 Telegraph Rd Ste 115
Bingham Farms, MI 48025-4302
Phone (248) 621-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20200327002451 MI Practitioner - Nurse Practitioner 3072942986 Reassigns benefits to 13 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neuro Team One PLLCGroup PAC ID 0143596379, 7 clinicians

Practice addresses (Care Compare)

31500 Telegraph Rd
Suite 115
Bingham Farms, MI 48025-4302
Phone (248) 621-9100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor Urgent Care PC CurrentSince Mar 1, 2020 Accepting new patients
Rochester Urgent Care Walk-in Clinic CurrentSince Mar 1, 2020 Accepting new patients
Shelby Urgent Care Walk-in Clinic CurrentSince Mar 1, 2020 Accepting new patients
Doctors Urgent Care Southfield CurrentSince Aug 1, 2020 Accepting new patients
Chesterfield Urgent Care Walk-in Clinic CurrentSince Mar 1, 2020 Accepting new patients
Canton Urgent Care Walk-in Clinic PC CurrentSince Mar 1, 2020 Accepting new patients
Neuro Team One PLLC CurrentSince Feb 1, 2021 Accepting new patients
Troy Urgent Care Walk-in Clinic CurrentSince Mar 1, 2020 Accepting new patients
Clinton Urgent Care Walk-in Clinic CurrentSince Mar 1, 2020 Accepting new patients
Sterling Heights Urgent Care Walk-in Clinic CurrentSince Mar 1, 2020 Accepting new patients
Commerce Urgent Care Walk-in Clinic CurrentSince Mar 1, 2020 Accepting new patients
Farmington Hills Urgent Care Walk-in Clinic PC PastSince Jul 31, 2022 Accepting new patients

Locations

31500 Telegraph Rd
Ste 115
Bingham Farms, MI 48025
Phone (248) 621-9100

31500 Telegraph Rd
Ste 205
Bingham Farms, MI 48025
Phone (248) 593-9933

6632 Telegraph Rd
Bloomfld Hls, MI 48301
Phone (248) 621-9100

43033 Ford Rd
Canton, MI 48187
Phone (734) 927-5050

51160 Gratiot Ave
Chesterfield, MI 48051
Phone (586) 221-1805

37150 S Gratiot Ave
Clinton Twp, MI 48036
Phone (586) 267-1334

2900 Union Lake Rd
Ste 110
Commerce Twp, MI 48382
Phone (248) 242-6049

25950 Middlebelt Rd
Farmington Hills, MI 48336
Phone (248) 803-0672

14671 Telegraph Rd
Redford, MI 48239
Phone (313) 387-2100

2915 Walton Blvd
Rochester Hills, MI 48309
Phone (248) 375-0022

46961 Van Dyke Ave
Shelby Township, MI 48317
Phone (586) 991-5205

43722 Schoenherr Rd
Sterling Hts, MI 48313
Phone (586) 262-4277

23234 Ecorse Rd
Taylor, MI 48180
Phone (313) 292-8400

4060 Rochester Rd
Troy, MI 48085
Phone (248) 250-6420

Interoperability endpoints

  • Direct secure messaging: ewisniewski921275@direct.trinity-health.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1561161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1679134563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45522 HIDDEN VIEW CT",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483155921",
            "telephone_number": "248-550-9159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45522 HIDDEN VIEW CT",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483155921",
            "telephone_number": "248-550-9159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31500 Telegraph Rd Ste 115",
            "address_purpose": "LOCATION",
            "city": "Bingham Farms",
            "state": "MI",
            "postal_code": "480254302",
            "country_code": "US",
            "telephone_number": "248-621-9100",
            "fax_number": "248-621-9111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISNIEWSKI",
        "first_name": "ELZBIETA",
        "middle_name": "EDYTA",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-22",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704285494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, MI

Sources for this page

Verify at the official NPI Registry.