Active NPI
Mary Helen Wysochansky, RN, FNP-BC
- Family Nurse Practitioner
- Americus, GA
National Provider Identifier
1811996002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R085059
- Practice address
- 1610 E Forsyth St
Americus, GA 31709-3893 - Phone
- (229) 928-1300
- Fax
- (229) 928-1340
- NPI assigned
- Jul 19, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R085059 | GA | Primary |
Addresses
Primary practice location
1610 E Forsyth St
Americus, GA 31709-3893
Mailing address
225 Taylor St
Americus, GA 31709-4085
Phone (229) 924-1528
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| REF899886977 | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R085059 | GA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365984000000",
"number": "1811996002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 TAYLOR ST",
"city": "AMERICUS",
"state": "GA",
"postal_code": "317094085",
"telephone_number": "229-924-1528",
"fax_number": "229-928-1340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1610 E FORSYTH ST",
"city": "AMERICUS",
"state": "GA",
"postal_code": "317093893",
"telephone_number": "229-928-1300",
"fax_number": "229-928-1340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYSOCHANSKY",
"first_name": "MARY",
"middle_name": "HELEN",
"credential": "RN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-19",
"last_updated": "2013-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "R085059",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "REF899886977",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Americus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.