Joanna Walczak, AGAC-NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

26NJ01306800 Issued in NJ

Practice address

222 New Rd Ste 201
Linwood, NJ 08221-1281

Phone

(609) 788-8953

Fax

(609) 904-6929

NPI assigned

Oct 10, 2023

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

Enrolled in NJ

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, 2021

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Medcorps Asthma and Pulmonary Specialists LLCGroup PAC ID 3375863764, 20 clinicians

Hospice at Lsmnj, Inc.Group PAC ID 1759642234, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11515/brand/1/csg/1/fhir/r4
• Direct secure messaging: joanna.walczak.1@11515.direct.athenahealth.com

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.

• Hospice at Lsmnj, Inc.

  • Community Based Hospice Care Agency
  • Egg Harbor Township, NJ
  • NPI 1275047706
  Medicare reassignment Care Compare group NPD
• Medcorps Asthma and Pulmonary Specialists LLC

  • Internal Medicine Physician
  • Linwood, NJ
  • NPI 1376921460
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1740061308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 NEW RD STE 201",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211281",
            "telephone_number": "609-788-8953",
            "fax_number": "609-904-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 NEW RD STE 201",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211281",
            "telephone_number": "609-788-8953",
            "fax_number": "609-904-6929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALCZAK",
        "first_name": "JOANNA",
        "name_prefix": "Mrs.",
        "credential": "AGAC-NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-10",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ01306800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joellynn Cathleen Verdier
• Ma. Pauleen Villarosa, FNP-BC
• Vitality Nutrition and Wellness Center LLC
• Curtis H Waechtler, PH.D.
• Pryia J Wagle, MD
• Jamie Fraser Walker, LMFT
• Maryellen Walsh, LCSW
• Wei-Lun Wang, D.D.S
• Susan E. Ward, MSN, APN-C
• David Russell Weesner, AU.D.

• Gerontology Nurse Practitioner in Linwood, NJ
• Providers in Linwood, NJ by specialty
• Gerontology Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.