Jodi Ann Wieczorek, AGCNS-BC, A.P.R.N.

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

R 118342-1 CNS 0516 Issued in MN

Practice address

201 E Nicollet Blvd
Burnsville, MN 55337-5714

Phone

(952) 892-2000

NPI assigned

Nov 11, 2016

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 MN

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

Certified Clinical Nurse Specialist (CNS)

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northfield HospitalGroup PAC ID 2567372998, 121 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northfield Hospital Hospital, Northfield, MN, CCN 240014

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Master of Science

State licenses

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 and National Provider Directory roles.

• Northfield Hospital

  • Rural Acute Care Hospital
  • Northfield, MN
  • NPI 1417990805
  Medicare reassignment Care Compare group NPD
• Fairview Health Services

  • Emergency Medicine Physician
  • Minneapolis, MN
  • NPI 1811077175
  Medicare reassignment
• Fairview Clinics

  dba Fairview Clinics - Integrated Primary Care

  • Clinic/Center
  • Minneapolis, MN
  • NPI 1043516867
  NPD
• Fairview Health Services

  dba Fairview Hospital University

  • General Acute Care Hospital
  • Minneapolis, MN
  • NPI 1013994359
  NPD
• Fairview Health Services

  dba Fairview Emergency Medical Services

  • Land Ambulance
  • Saint Paul, MN
  • NPI 1710212485
  NPD

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

• Northfield Hospital

  • Rural Acute Care Hospital
  • Northfield, MN
  • NPI 1417990805
  Care Compare affiliation

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

{
    "created_epoch": "1478822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478822400000",
    "number": "1780126474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 RED OAK CT",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551212335",
            "telephone_number": "651-402-8993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E NICOLLET BLVD",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553375714",
            "telephone_number": "952-892-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIECZOREK",
        "first_name": "JODI",
        "middle_name": "ANN",
        "credential": "AGCNS-BC, A.P.R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-11",
        "last_updated": "2016-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "MN",
            "license": "R 118342-1 CNS 0516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shameka Whitfield
• Anna Nelson Whitley, RN
• Whitney Sleep Associates LLC (Whitney Sleep Center)
• Steven Wickelgren, LMFT
• Theodore Scott Wiebold
• Jonathan Gerald Wiger, BCBA
• Ann Wilcek, MS RD/LD
• Alexandra Wilcox
• Kathryn Wilder, MA
• Kristi Lynn Wilder, M.A., LMFT

• Clinical Nurse Specialist in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Clinical Nurse Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2016; 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.