Cathleen Sue Wilczynski, MS.RN.CS.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704192578 Issued in MI

Practice address

555 Towner St Ste 149
Ypsilanti, MI 48198-5752

Phone

(734) 544-2963

Fax

(734) 544-6707

NPI assigned

Mar 1, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Regents of the University of Michigan

  • Specialty Pharmacy
  • Dexter, MI
  • NPI 1952181919
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871621078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 POTTER AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481035543",
            "telephone_number": "734-544-2963",
            "fax_number": "734-544-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 TOWNER ST STE 149",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481985752",
            "telephone_number": "734-544-2963",
            "fax_number": "734-544-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCZYNSKI",
        "first_name": "CATHLEEN",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "MS.RN.CS.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704192578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keryn Ann-Hugh Wickersham
• Brian Wideman, DO
• Amy Nicole Wiechec, RN
• Chase Bennett Wight, PA-C
• Megan Wilcoxon
• Donald E Wild, MD
• Morgan Christian Wilder
• Jeffrey Wilke
• John Wilkerson, LLMSW
• Ann Cotcamp Wilkie, M.D.

• Family Nurse Practitioner in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.