Individual provider Active NPI

Wanda Jean Winarski, NP-C

  • Adult Health Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1851818645
Registry record updated Aug 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
2017005252 Issued in MO
Practice address
5220 Belfort Rd Ste 130
Jacksonville, FL 32256-6018
Phone
(904) 446-3760
NPI assigned
Aug 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 2017005252 MO
Adult Health Nurse Practitioner 363LA2200X 2017005252 MO Primary

Addresses

Primary practice location

5220 Belfort Rd Ste 130
Jacksonville, FL 32256-6018

Mailing address

105 Evergreen CT
Collinsville, IL 62234-4781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171226000152 MO Practitioner - Nurse Practitioner 0648538520 Reassigns benefits to 1 organization
I20250319002105 NC Practitioner - Nurse Practitioner 0648538520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Wound Specialists of North Carolina, PLLCGroup PAC ID 7810172616, 17 clinicians

Practice addresses (Care Compare)

1714 Davie Ave
Statesville, NC 28677-3522
Phone (704) 768-0542

Hospital & facility affiliations

  • Iredell Home Health Home health agency, Statesville, NC, CCN 347059
  • Iredell Memorial Hospital Inc Hospital, Statesville, NC, CCN 340039

Merit-based Incentive Payment System (MIPS)

Final score
83.47 of 100Reported as individual
Quality
59.59
Improvement activities
40
Cost
76.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017005252MOMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healogics Specialty Physicians of Missouri, LLC Nurse Practitioner CurrentSince Nov 12, 2017 Accepting new patients
Integrated Wound Specialists of North Carolina, PLLC Nurse Practitioner CurrentSince Jan 7, 2025 Accepting new patients

Locations

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

800 Chambers Rd
Ferguson, MO 63135
Phone (314) 522-8100

19550 E 39th St S
Ste 430
Independence, MO 64057
Phone (816) 698-8890

3015 N Ballas Rd
Saint Louis, MO 63131
Phone (314) 996-5330

1032 Old des Peres Rd
Saint Louis, MO 63131
Phone (314) 821-6181

11125 Dunn Rd
Ste 211
Saint Louis, MO 63136
Phone (314) 653-4076

35 Memorial Dr
Pinehurst, NC 28374
Phone (910) 715-3376

401 Mocksville Ave
Salisbury, NC 28144
Phone (704) 384-9568

1714 Davie Ave
Statesville, NC 28677
Phone (704) 768-0542

Organizations & group practices 2

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": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503446400000",
    "number": "1851818645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 EVERGREEN CT",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622344781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 BELFORT RD STE 130",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566018",
            "telephone_number": "904-446-3760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINARSKI",
        "first_name": "WANDA",
        "middle_name": "JEAN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2017-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MO",
            "license": "2017005252",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2017005252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.