Individual provider Active NPI

Anny Wicyk, APNP

  • Nurse Practitioner
  • Beloit, WI
National Provider Identifier
1861071896
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
10837-33 Issued in WI
Practice address
Beloit Health System
1969 West Hart Rd
Beloit, WI 53511-2283
Phone
(608) 364-5689
Fax
(608) 364-5452
NPI assigned
Apr 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10837-22 WI
Nurse Practitioner 363L00000X 10837-33 WI Primary

Addresses

Primary practice location

Beloit Health System
1969 West Hart Rd
Beloit, WI 53511-2283

Mailing address

Beloit Health System
1969 West Hart Rd
Beloit, WI 53511-2283
Phone (608) 364-5689

Other identifiers 1

IdentifierTypeStateIssuer
100180456MedicaidWI

Other names 1

  • Anny Nguyen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20211214001927 WI Practitioner - Nurse Practitioner 1355731910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beloit Health System IncGroup PAC ID 8224947858, 138 clinicians

Practice addresses (Care Compare)

1650 Lee LN
Beloit, WI 53511-3935
Phone (608) 364-4670

1670 Lee LN
Beloit, WI 53511-3935
Phone (608) 364-5252

1735 Madison Rd
Beloit, WI 53511-3216
Phone (608) 363-7510

1905 E Huebbe Pkwy
Beloit, WI 53511-1842
Phone (608) 363-5000

1905 W Hart Rd
Beloit, WI 53511-2230
Phone (608) 364-2200

1969 W Hart Rd
Beloit, WI 53511-2230
Phone (608) 364-5756

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.93 of 100Reported as group
Quality
64.82
Promoting interoperability
100
Improvement activities
40
Cost
71.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10837-22WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beloit Health System, Inc CurrentSince May 31, 2022 Accepting new patients
Beloit Health System Inc CurrentSince May 31, 2022 Accepting new patients
Beloit Clinic, S.C. Current Accepting new patients

Locations

1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011

1735 Madison Rd
Beloit, WI 53511
Phone (608) 363-7510

Organizations & group practices 3

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 1

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": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1861071896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BELOIT HEALTH SYSTEM",
            "address_2": "1969 WEST HART RD",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535112283",
            "telephone_number": "608-364-5689",
            "fax_number": "608-364-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BELOIT HEALTH SYSTEM",
            "address_2": "1969 WEST HART RD",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535112283",
            "telephone_number": "608-364-5689",
            "fax_number": "608-364-5452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICYK",
        "first_name": "ANNY",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "10837-22",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "10837-33",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100180456",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNY",
            "last_name": "NGUYEN",
            "credential": "APNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beloit, WI

Sources for this page

Verify at the official NPI Registry.