Individual provider Active NPI

Lauren Wienczak, ANP-BC

  • Adult Health Nurse Practitioner
  • Highland, MI
National Provider Identifier
1821349390
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704268596 Issued in MI
Practice address
2812 Steeplechase
Highland, MI 48357-4251
Phone
(248) 346-5008
NPI assigned
Sep 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704268596 MI Primary

Addresses

Primary practice location

2812 Steeplechase
Highland, MI 48357-4251

Mailing address

5701 Bow Pointe Dr
Ste 300
Clarkston, MI 48346-5402
Phone (248) 346-5008

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
I20130121000105 MI Practitioner - Nurse Practitioner 1850544099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Medical GroupGroup PAC ID 3971416082, 240 clinicians

Practice addresses (Care Compare)

32901 23 Mile Rd
Suite 120
Chesterfield, MI 48047-4032
Phone (586) 725-4604

5701 Bow Pointe Dr
Clarkston, MI 48346-5402

Hospital & facility affiliations

  • McLaren Home Health Home health agency, Clinton Township, MI, CCN 237172
  • McLaren Oakland Hospital, Pontiac, MI, CCN 230207

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704268596MIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Medical Group CurrentSince Jun 20, 2019 Accepting new patients
McLaren Medical Group Nurse Practitioner CurrentSince Jun 20, 2019 Accepting new patients
McLaren Medical Group Past Accepting new patients
Oakland Physiatry P.C. PastSince Jan 1, 2007 Accepting new patients

Locations

32901 23 Mile Rd
Ste 120
Chesterfield, MI 48047
Phone (586) 725-4604

5701 Bow Pointe Dr
Ste 300
Clarkston, MI 48346
Phone (248) 379-4246

39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1348531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1821349390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 BOW POINTE DR",
            "address_2": "STE 300",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483465402",
            "telephone_number": "248-346-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 STEEPLECHASE",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483574251",
            "telephone_number": "248-346-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIENCZAK",
        "first_name": "LAUREN",
        "name_prefix": "Mrs.",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-25",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704268596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, MI

Sources for this page

Verify at the official NPI Registry.